Regulatory Program Manager Jobs in Springfield, NJ

Title: Program Manager
Unit: Care Management Unit
Reports to: Senior Director, Behavioral Health
Status: Full-Time, Regular, Exempt
Salary Range: $70,000 - $80,000 annually
Location: Long Island City & on the field
Days/Hours: Monday - Friday, generally 9 AM-5 PM
Organization Overview:
The Fortune Society, Inc. (Fortune) has been working for over 57 years in service to our mission: to support successful reentry from incarceration and promote alternatives to incarceration, thus strengthening the fabric of our communities. The organization has evolved into one of the nation's preeminent reentry and justice-informed service organizations, providing formerly incarcerated people with the skills and wrap-around services needed to break the cycle of crime and incarceration and to build productive lives in their communities.
Fortune has grown steadily over the years to an agency with close to $90 million in annual budget with just under 600 staff. We anticipate that we will keep growing, both in size and depth of service. Fortune has a dual mission: both advocacy and service. The advocacy portion of our mission focuses on building a more just criminal legal system and reducing the barriers to reentry into society. The service side of Fortune has evolved to encompass a broad range of programs that started with employment and education and now includes a robust array of services, among them: alternatives to incarceration, supervised release, court advocacy, discharge planning within correctional facilities, licensed substance use and mental health treatment, a housing continuum ranging from emergency and transitional through permanent congregate and scattered site housing, assistance in obtaining benefits, a care management unit, HIV services, a food and nutrition program, and an arts program. Each service we provide is informed by the needs of the population we serve. Fortune currently serves approximately 14,000 people a year. Our program models are recognized, both nationally and internationally, for their quality and innovation. We have locations in Brooklyn, The Bronx, Manhattan, and Queens.
Position Summary:
The Fortune Society is seeking an experienced NYS Health Home Care Management supervisor to manage the operations of our well-established, yet growing, care management department. This onsite position will have overall day-to-day responsibility for ensuring the connection of criminal legal system impacted adults, many of whom have complex health conditions, to a wide range of medical, mental, and social determinants of health services. The manager is a leader on the team, providing regular supervision to care managers and peer support specialists within the unit. This role requires attention to detail, ensuring each program's policies and procedures are implemented and followed, and services provided are in alignment with both state regulations and Fortune's mission. The role also includes working with the Behavioral Health division's data analytics team to ensure the integrity of data reporting.
Core Competencies:
Mission and Fit: Embodies Fortune's mission and values and will be an effective member of the team in furthering both. The candidate should exhibit compassion and understanding for our participants (wherever they are in their re-entry process) and embrace Fortune's core value that none of us should be measured against the worst things we have done.
Engagement & Productivity: This person shall demonstrate an ability to engage clients in treatment and encourage them to take ownership of their medical needs and adhere to appointments. The manager will ensure that all billable core services are in line with Health Home policies and at or above Fortune's standard of excellence.
Time Management & Personal Organization: This person will demonstrate excellent time management skills including making, keeping and/or rescheduling appointments on their own personal calendar as well as psychiatric appointments for clients on their caseload. The successful candidate will be excellent at maintaining personal organization in pursuing numerous tasks in parallel, managing his/her/their time to maximize efficiency, and will be good at completing paperwork accurately and in a timely manner. All of this requires good computer navigation skills as well as effective typing speed.
Supervisory Skills: The successful candidate will possess strong interpersonal skills and communicate effectively. This person will be able to foster a positive work environment, providing constructive feedback where necessary, motivating staff, and supporting professional development. The successful candidate will be able to analyze problems to come up with effective solutions while remaining resilient in response to changing circumstances.
Essential Duties and Responsibilities:

• Provide oversight of the Care Management Unit's (CMU) care managers and peer support specialists, monitoring adherence to unit policies and procedures, financial performance metrics, caseload performance, and service provision;
• Provide operational oversight of clinical and non-clinical staff who will be providing services to Health Home (HH) and Health Home Plus (HH+) clients, monitoring adherence to NYS and OMH regulations;
• Provide operational oversight of Fortune's Social Care Navigation (SCN) team, ensuring adherence to policies, performance metrics, and billing outcomes;
• Ensure all care managers are utilizing best practices to engage clients, including incorporation of trauma-informed, client-centered and strengths-based approaches;
• Monitor the completion of assessments and the coordination of plan(s) of care to ensure adherence to NYS Health Home policies and procedures;
• Support level II Care Managers in screening participants for eligibility into Fortune's CMU, including identification of HH+/high need eligibility and assign to care managers accordingly;
• Monitor HARP assessments completed in the Medicaid Analytics Performance Portal (MAPP);
• Support Level II Care Managers in overseeing the fieldwork of other care managers, including documenting days out of the office, location of service provision, and recording time and effort logs;
• Establish and maintain internal and external partnerships with providers, establishing referral workflows for care managers to use with clients;
• Support care managers in transitions of care service provision to ensure appropriate continuity of service delivery;
• Support care manager in ensuring that individuals are being appropriately connected to supportive services such as, peer services, medication assistance/linkages to healthcare housing screenings and assistance with the HRA 2010e Supportive Housing applications;
• Work closely with Fortune's internal and external interdisciplinary care teams including the PCP, psychiatrist, therapist, residential service providers, DHS case workers, substance abuse treatment programs, Social Care Network (SCN) partners, and/or participants' family members, etc., to determine appropriate service referrals;
• Support Level II Care Managers in reviewing, editing, and approving the team's encounter notes daily;
• Monitor staff billing practices to ensure appropriate core services are entered and billed for each month according to acuity level;
• Identify potential barriers to care and strategies for overcoming those barriers, including those relating to medication compliance;
• Regularly liaise with Fortune's housing screening team to identify potential placement opportunities for eligible individuals;
• Attend and serve as the main point of contact at lead Health Home, NYS DOH and OMH meetings;
• Complete all requisite agency and Health Home care management trainings;
• Perform additional responsibilities as needed.

Qualifications:

• Master's degree in a qualifying field preferred* or CASAC is required with at least 3 years of progressive experience in NYS Health Home Care Management;
• Experience with Health Home Plus (inclusive of HARP), Serious Mental Illness (SMI) high needs individuals, including best practices and state/health home regulations;
• Minimum of 2 years' experience in a supervisory capacity;
• Ability to demonstrate strong written and verbal communication skills through reports, correspondence and presentations;
• Strong organizational and interpersonal skills; ability to manage competing priorities within a growing unit;
• Proficiency in Microsoft 365, SharePoint, and Excel, as well as MAPP, ePACES, PSYCHES;
• Bilingual English/Spanish a plus;
• Ability to perform additional responsibilities as needed;
• We seek talented, dedicated individuals from all walks of life who possess a strong commitment to this mission. Relevant personal experience is a plus.

*Qualifying educational fields include education degrees featuring a major or concentration in: social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing, or other human services field.
Physical Demands:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The responsibilities and requirements listed are representative of the knowledge, skills, minimum education, training, licensing, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
The Fortune Society is an Equal Opportunity Employer. All qualified applicants will be afforded equal employment opportunities without discrimination because of conviction history, race, religion/creed, color, national origin, sex, age, disability, sexual orientation, gender identity, military status, predisposing genetic characteristics, victim of domestic violence status or marital status.