CARE DELIVERY MANAGER

Centerlight Health System • Ridgewood, NY

412d • $120,000 - $125,000

About The Position

The position is responsible for supporting nursing standards of excellence through advanced professional education to ensure high-quality care delivery. As a member of the management team, the role involves overseeing day-to-day operations, providing guidance, and implementing best practices to achieve the organization's objectives. The position emphasizes care coordination that is sensitive to diverse backgrounds and aims to enhance patient satisfaction and retention.

Requirements

• Degree from an NLN accredited nursing school (RN, BSN required or at least 5 years' experience in health care setting).
• Successful completion of an accredited Nursing Program is required.
• A Baccalaureate degree is highly desired.
• Completed NYSED-approved infection control coursework.
• A minimum of 8.0 education contact hours may include mandatory training requirements such as infection control coursework.
• Case Management Certification recommended within 2 years of employment.
• Minimum of two (2) years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home health care (LHCSA), acute care, medical-surgical, and/or critical care, nursing home experience, diagnostic & treatment clinic preferred.
• Customer Service experience is required.
• Managed long-term care insurance experience beneficial.
• Minimum of one (1) year of experience working with a frail or elderly population or appropriate training from the PACE organization upon hiring.
• Supervisory experience is required.
• Current active and unrestricted license and registration in New York State as a Registered Nurse required.

Nice To Haves

• Bilingual preferred.

Responsibilities

• Review and ensure effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants.
• Facilitate and complete the process of Interdisciplinary Team (IDT) meetings, Service Delivery Requests (SDR) and other meetings, including completing attestations as needed.
• Serve as a manager on call during non-operational hours and responsible for follow-ups, including documentation and initiating grievances on participants/caregivers' behalf.
• Run necessary Clinical Delivery reports.
• Participate and represent the Community Health Nurse (CHN) in all IDT meetings when required.
• Balance and allocate staffing and related resources throughout the site to ensure adequate team assignments and coverage.
• Maintain ongoing communication with IDT and necessary parties to coordinate care consistent with participants' health care needs and goals.
• Collaborate with clinicians to review UAS and the UAS analyzer system for assessment accuracy.
• Ensure all incidents are investigated and addressed according to CLHC regulations, including timely Level 2 investigations and documentation.
• Ensure documentation for participants is complete and accurate, including enrollment, disenrollment, and clinical notes.
• Review participants' charts for quality and address deficiencies.
• Provide care management services across sites in collaboration with the Transitions in Care Team.
• Coordinate and arrange for long-term care services in nursing homes and rehab facilities as needed.
• Monitor care management activities and implement changes to meet needs and goals.
• Ensure documentation complies with CLHC standards and federal/state regulations.
• Maintain up-to-date knowledge about health-related issues and evidence-based practices.
• Recommend improvements in services, programs, policies, and procedures for optimum care.
• Collaborate with HR in conducting interviews, coaching, and disciplinary actions, and assist in onboarding and training of staff.
• Evaluate the work performance and competency of direct reports, providing ongoing feedback and completing annual performance reviews.
• Investigate and resolve employee grievances and complaints.
• Serve as the Director of Patient Services (DPS) for the LHCSA as assigned.
• Act within the scope of the individual's authority to practice.
• Meet standardized competencies established by the PACE organization before working independently.

Benefits

• Competitive salary range of $120,000.00 - $125,000.00
• Professional development opportunities
• Supportive work environment
• Health insurance coverage
• Paid time off and holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree