{"id":1428501,"url":"https://alion.io/job/caresource-team-lead-uca-reviewer","title":"Team Lead, UCA Reviewer","company":{"id":2670646,"name":"CareSource","domain":"caresource.com","url":"https://alion.io/company/caresource","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Schema","truth_index":{"grade":"A","score":88,"open_postings":3,"ghost_share":0,"stale_share":0.667,"repost_share":0,"time_to_fill_p50_days":10,"computed_at":"2026-10-23T05:54:15Z"}},"role":"Management","role_family":"Management","seniority":"lead","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Boston, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":72200,"max":115500,"currency":"USD","period":"year","gross":null,"usd_annual":115500},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Excel","optional":false}],"status":"live","first_seen_at":"2026-09-28T00:00:00Z","employer_posted_date":"2026-10-21","last_verified_at":"2026-10-24T04:37:28Z","board_verified":true,"closed_at":null,"days_open":26,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":26},"description":"Job Summary:\nThe Team Lead, Assessment Review & Submission, supervises a team of RN Reviewers who review and submit assessments for quality and compliance measures and applies their knowledge of Mass Health Rating Categories and compliance standards to ensure the reviews are completed timely and efficiently. \nEssential Functions:\nHires and onboards assessment review nurses and provides ongoing training regarding standard operating procedures and quality assessments, tracks, and monitors team productivity.\nMaintains expert knowledge of the MA assessment process and how it is used to measure function leading to rating categories that support member needs and related costs.\nEnsures adequate training and technology is made available for nurses reviewing MDS visits.\nWorks closely with the Manager, Assessment Review & Submission to balance nurse workload and ensures that assessments and being submitted on time and are of consistently high quality.\nReviews a limited number of assessment visits, developing and disseminating best practices regarding assessment completion and patient assessment experience.\nRegularly collaborates to improve workflow and attain team objectives\nReviews Assessments for training and quality assurance purposes\nWorks closely with the Senior Management to identify and review downgrades for potential assessment errors, as well as identify and review potential rating category upgrades\nAnalyzes claims, medical records, and assessment data to identify members that may be assigned to an inappropriate rating category; and recommends members for status change assessment, as appropriate.\nContinually looks for opportunities to improve knowledge of rating category requirements and assessment documentation to support assigned rating categories.\nPerform any other job related duties as requested.\n Education and Experience:\nAssociates degree in Nursing required \nBachelor's degree in Nursing preferred \nTwo (2) years of experience completing MDS assessments required \nTwo (2) years with electronic medical records required \n Prior supervisory experience preferred \n experience developing documentation of processes preferred \nCompetencies, Knowledge and Skills:\nStrong knowledge of UCA assessment tool\nStrong oral and written communication skills\nExcellent analytical and organizational skills\nEffective teaching skills\nExcellent technology skills, including use of electronic health records and Microsoft Excel\nAble to function effectively as part of a team\nAbility to translate complex concepts into understandable guidelines preferred\nLicensure and Certification:\n Current Registered Nurse (RN) license in Massachusetts in good standing required \nWorking Conditions:\nGeneral office environment; may be required to sit or stand for extended periods of time\n Travel is not typically required\n$72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.\nSalary\nOrganization Level Competencies\n- Fostering a Collaborative Workplace Culture\n- Cultivate Partnerships\n- Develop Self and Others\n- Drive Execution\n- Influence Others\n- Pursue Personal Excellence\n- Understand the Business\nThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. 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