Insurance Operations Manager Jobs in Millville, NJ

Overview

Join a Team That Changes Lives

For more than 170 years, Elwyn has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create real change – helping people lead meaningful, fulfilling lives.

Now, we’re looking for passionate team members to join us. Here, your work will change lives – including your own. You’ll make an impact every day, find purpose in what you do, and grow in a career that truly matters.

At Elwyn, we take care of you while you care for others. We offer:

• Generous Paid Time Off
• Comprehensive Medical/Dental/Vision Benefit Packages
• Earned Wage Access/On-Demand Pay
• Paid On-the-Job Training
• Tuition Reimbursement
• Career Advancement Opportunities and Growth
• Flexible Schedules
• Retirement Savings Plan

Join us and be a part of something bigger. Apply today.

Responsibilities

DUTIES AND RESPONSIBILITIES:

• Provide supervision of assigned staff in the areas including, but not limited to, recruitment, selection, leadership, coaching, training, performance management, promotion, discipline, and termination
• Works with, understands, and complies with terms and conditions of collective bargaining agreements (CBA) within a unionized environment with tasks including but not limited to adherence to scheduling procedures, processing transfers and promotions, administering disciplinary actions, adjudicating grievances, where appropriate, etc. 
• Interview and hire to build and maintain a team of staff focused on Individual Support Plan (ISP) outcomes, program structure and client rights through ongoing support, individual supervision, training, and regular staff meetings
• Oversee the management of the program staffing schedules to ensure consistent staffing
• Ensure that the Program Coordinator (PC) and staff comply with implementing and/or overseeing the following, including but not limited to a system of safe practice; fire preparedness; inspection readiness at all times; vehicle maintenance; Health Insurance Portability and Accountability Act (HIPAA) compliance; adherence to individual finance policies and protocols; operational processes including use of petty cash and other policies, procedures and protocols established for the program by a continuous review of program operations, daily guidance, and work with the team for the benefit of individuals supported
• Ensure sites operate in accordance with the organization’s quality standards for safety, cleanliness and comfort, and state licensing and accreditation standards by, including but not limited to, reviewing, and auditing daily practices, Continuous Quality Improvement (CQI) auditing, and along with the Program Coordinator and Program Specialist, leading staff meetings to train staff
• Complete required trainings to complete medication practicums with staff who administer medications
• Assist the Program Coordinator to complete Medication Administration Records (MAR) reviews in accordance with established medication administration regulations
• Manage and reconcile the petty cash accounts and ensure compliance with individual finances protocols for assigned locations
• Provide back-up for and review of the Program Coordinator for the following duties as outlined in program regulations
• Collaborate with all team members, including but not limited to individual’s family, Supports Coordination agency personnel, medical personnel, day program personnel, Program Specialist, to the benefit of the individuals supported
• In collaboration with the Program Coordinator ensure the completion of the orientation of an individual at the time of admission including but not limited to ensure fire safety training is in compliance for the individual; ensure the oversight for medical appointments being scheduled and completed timely, attended, and documented appropriately; ensure medical and healthcare is provided to individuals according to individuals’ needs
• In collaboration with the Program Coordinator, manage individuals’ finances, including allocation of personal spending money, planning of spenddowns, ensuring the accountability of individual funds by signing out monies for individuals to staff, collection of receipts and change from staff, completion of the cash ledger, and submission of reconciled finances to the Program Finance Coordinator monthly
• Lead meetings with the Nurse Case Managers to review individual’s medical appointments, medications, adaptive equipment, and other medically needed supports
• Aid in the resolution of problematic situations (i.e., communication difficulties, times of distress or agitation) that may occur for individuals supported
• Complete assigned timekeeping activities and approve/reconcile the Program Coordinators assigned timekeeping activities for all assigned staff in accordance with established program protocols
• Promptly report any infractions or failure to follow established Elwyn policies and procedures, with Department of Human Services (DHS) regulations, Health Insurance Portability & Accountability Act (HIPAA) regulations, and applicable state/local/federal regulations at all times to the appropriate party
• Maintains current state-mandated training and certifications
• Follows all current policies and procedures of Elwyn New Jersey
• Cooperates with Elwyn New Jersey and the State of New Jersey Department of Human Services, or any other authorized investigating body during an inspection, an inquiry, or investigation
• Perform cardiopulmonary resuscitation (CPR), safe crisis management, and medication administration using agency-trained protocols
• Perform other duties as assigned
• Participate in on-call rotation as assigned

EDUCATION/EXPERIENCE/SKILLS REQUIREMENTS:

• High school diploma with six (6) years' experience in the field of Intellectual and Developmental Disabilities (IDD); OR associate degree in the field of human services or related field AND four (4) years of experience working directly with individuals with intellectual disabilities; OR bachelor's degree in the field of human services or related field AND two (2) years of experience working directly with individuals with intellectual disabilities; OR Master's Degree AND one (1) year of experience working directly with individuals with intellectual disabilities
• One (1) year of supervisory experience
• Previous experience working within and managing a unionized workforce preferred
• Demonstrated ability to anticipate future needed changes or identify problem areas and take effective actions
• Must be able to perform CPR and safe care using agency-trained protocols
• Experience using/knowledge of Electronic Health Record (EHR) / Electronic Medical Record (EMR) preferred
• Must submit to a criminal background check and be determined to be not disqualified by the New Jersey Department of Human Services prior to working with individuals served
• Program Coordinator or Manager experience preferred
• Demonstrated ability to lead, supervise and provide direction to teams and individual staff
• Knowledge of applicable regulations including but not limited to NJAC 10:44A, Standards for Community Residences for Individuals with Developmental Disabilities and applicable Division Circulars and Home and Community Based Services Waiver Regulations
• Knowledge of health insurances, Medical Assistance, Social Security Administration rules a plus
• Must possess a current, valid driver's license in state of residence, have a minimum of two (2) years of driving experience within the United States, and have an acceptable driving record.

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