Assistant Clinical Director (Hybrid - Bronx Office)

CareSource•New York, NY

1d•$113,000 - $197,700•Hybrid

About The Position

The Assistant Clinical Director is responsible for managing the day-to-day activities of care coordination. It ensures delivery of quality service and performance of the staff and team. The Director provides support to the team for care management issues, problem resolution, complaint resolution and other member services related issues. Manages and coordinates the activities of RSH MLTC care coordination team to ensure that care coordination meets with regulatory guidelines and the organization's objectives. Performs all duties inherent in the managerial role; ensures staff training, evaluates staff performance, participates in hiring, retention, evaluation and disciplining and termination of staff.

Requirements

Bachelor's degree in nursing required
Three (3) years experience in home care, care management or related field required
previous experience with NY State regulations regarding Medicaid , Managed Long Term Care Health Plans required
Proficiency in Microsoft Office products, specifically Word and Excel
Ability to define problems, collect data, establish facts and draw conclusions
Ability to interpret an extensive variety of technical instructions and deal with several abstract, concrete variables
Demonstrated knowledge of Medicare and Medicaid regulations
Knowledge of applicable Federal, State and Local regulations
Ability to effectively communicate information to chronically ill / geriatric members
Demonstrated ability to integrate age specific requirements with individual developmental, mental, social and cultural needs
Leadership and management skills
Strong collaboration and conflict resolution skills
Exception communication skills (written and verbal) with the ability to present information in a variety of different formats to all levels
Ability to develop, prioritize and accomplish goals/time management skills
Active, unrestricted Registered Nurse (RN) license in state or practice required

Nice To Haves

Master's degree in nursing or healthcare related field preferred
Equivalent years of relevant work experience may be accepted in lieu of required education
previous management experience preferred
Case Manager Certification preferred

Responsibilities

Plans, organized, direct, coordinate and evaluate clinical aspects of RSHP Programs.
Plans and administers the operational and fiscal aspects of the Program.
Prepares and administers the Program’s Annual Budget in conjunction with Senior Management Staff.
Develops policies and procedures governing client care.
Establishes appropriate, New York State code compliant, personnel policies and procedures including those relating to hiring practices, health status examination, and periodic evaluation.
Orientation and in-service education.
Participates in hiring, retention, evaluating, disciplining and termination of staff.
Ensures compliance, consistent with health rules of the New York State Department of Health.
Performs/reviews yearly evaluations of employees’ performance for Management, Clerical and Professional staff.
Develops job descriptions for each category of personnel, which clearly identify the scope of practice, responsibility and accountability of the individual filling the position.
Recruits and provides sufficient staff required to meet the Program’s responsibilities.
Assures adherence to good personnel practices in regard to hiring, retention, evaluation, counseling, discipline and termination of personnel.
Plans, delegates, supervise and evaluate client care services provided by the Program.
Participates in developing standards which insure safe and therapeutically effective service to clients and families.
Oversees the clinical supervision of staff to assure standards of care are met and/or assures that appropriate supervision is provided.
Participates in the negotiation of contract/agreements where applicable to provide services for the Program.
Approves staff participation in continuing Education Programs and schedules
Monitors effectiveness of documentation in meeting regulatory and reimbursement requirements.
Provides direct supervision of the Management staff.
Plans and arranges for consultants to meet staffing levels.
Prepares for the participation in certification visits from Regulatory/Accrediting bodies.
Ensures after hours phone coverage for Members.
Represents Program to community.
Performs outreach, marketing and liaison responsibilities.
Perform any other job related duties as requested.