May 4, 2022

Clinical Analyst

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Department: Health Systems Transformation
Location: Albany, NY

About Us:

NYSTEC is a nonprofit technology consulting company, advising agencies, organizations, institutions, and businesses since 1996. We’re independent and vendor-neutral, so we have our clients’ best interests at heart. At NYSTEC, we know that we succeed when individuals and teams flourish personally and professionally, so our benefits and perks support that mindset. Are you ready to contribute to our engaged workforce and to deliver the NYSTEC Experience?

About the Role:

As a clinical analyst, you will collaborate with team members to conceptualize, deliver, and support our clients through today’s ever-changing landscape. Your day-to-day role as a consultant will be providing clinical analysis expertise to evaluate the Community First Choice Option (CFCO) across New York State. This role will be based in our Albany office.

Key Responsibilities

  • Provide analysis and oversight of quality management of CFCO delivery.
  • Provide analysis of functional assessments across populations (e.g., Community Health Assessment (CHA)/ Coordinated Assessment System (CAS)/Child and Adolescent Needs and Strengths (CANS)), to ensure appropriateness of care and services.
  • Reviewing documentation and providing recommendations on plan of care development and policy guidance to promote person-centered planning.
  • Provide evidence-based practice recommendations for service authorization and utilization.
  • Provide evidence-based practice recommendations for CFCO services related to instrumental activities of daily living/activities of daily living (IADL/ADL).
  • Provide educational guidance, training, and procedures for internal and external stakeholders, as applicable.
  • Coordinate on-site visits with clients as needed.
  • May require travel to complete ongoing, on-site reviews, by region, within the New York state.

About You:

Required Qualifications

  • A minimum of two years of experience as a registered nurse, licensed mental health counselor (LMHC), licensed clinical social worker (LCSW), or related licensure/experience in a role working with critical care providers, public health providers, or providers that care for children, older adults, persons with traumatic brain injury, persons with emotional disturbances, or persons with developmental disabilities.
  • Two years of experience with monitoring compliance or experience with Medicaid programs, community transition waivers and/or Fee-for-Service Medicaid or managed care billing.
  • Proficiency in Microsoft Excel, Word, Outlook, Visio, PowerPoint, and SharePoint.
  • For this role, travel is required approximately 10% of the time. Work can be completed remotely as needed.

Preferred/Desired Qualifications

  • Experience with Community First Choice Option (CFCO) services, Consumer Directed Personal Assistance Services (CDPAS), home health aides, Personal Care Level 1 and 2, home delivered/congregate meals, etc.).
  • Experience with utilization review for service delivery.
  • Experience developing and/or implementing quality management programs.
  • Extensive knowledge of Medicaid programs, including the 1915(c) NYS Waiver Services.
  • Experience working with the Uniform Assessment System for York (UAS-NY), Child Adolescent Needs and Strengths—NY (CANS-NY), or equivalent systems to evaluate ADL/IADL and level of care need.
  • Experience working with the New York State Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Family Services (OCFS).
  • Experience with multiple electronic health record applications.
  • Ability to work with and relate to staff and demonstrate active listening skills.
  • Process-oriented and results-driven work strategy.
  • Ability to foster teamwork with all levels of management and staff.
  • Ability to work well independently and within a team.
  • Exceptional customer service relationship techniques, including superior verbal and written communication skills.
  • Excellent accuracy and attention to detail.
  • Experience in meeting deadlines and adhering to strict standards.
  • Experience in developing or auditing care plans

Education and Experience

  • A bachelor’s degree in healthcare or the social sciences and two years of related experience. An equivalent combination of advanced education, training, and experience will be considered.

If you’re an effective communicator who enjoys working in complex and collaborative environments, using your critical thinking, problem solving, and research skills to develop solutions for clients, providing support to customers, and you have the required education, experience, and skills, we want to hear from you.

It is NYSTEC’s policy to provide equal employment opportunity (EEO) to all individuals, regardless of actual or perceived race, color, creed, religion, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), age, national origin, ancestry, citizenship status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, military service and veteran status, sexual orientation, marital status, or any other characteristic protected by local, state, or federal laws and ordinances. NYSTEC is strongly committed to this policy and believes in the concept and spirit of the law.

Employees are required to comply with NYSTEC’s Vaccination Policy and Prevention Plan. Our policy requires proof of vaccination status or agreeing to submit weekly COVID-19 tests via our ADP portal. New York City office employees and travelers are required to submit proof of vaccination or apply for a workplace accommodation request in accordance with NYC Emergency Executive Order No. 98.

Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future.

Learn more about NYSTEC by visiting www.nystec.com.

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