Abstract Management Group Jobs (NOW HIRING)

Job Summary:
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.
Essential Functions:

• 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.
• 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.

Education and Experience:

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

Competencies, Knowledge and Skills:

• 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

Licensure and Certification:

• Active, unrestricted Registered Nurse (RN) license in state or practice required
• Case Manager Certification preferred

Working Conditions:

• Three days a week in Bronx office; Two days a week remote
• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (occasional) travel based on the needs of the department may be required

Compensation Range:

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.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business