The Regional Assistant Director of Care Coordination is responsible to provide support, guidance, and supervision to the Care Manager Supervisors to ensure high-quality care coordination services are being delivered in the region. The Regional Assistant Director of Care Coordination will assist in the development, implementation, and monitoring of regional day-to-day operations and employees for care coordination service delivery.
Essential Job Functions:
Provide supervision and support to staff assigned, including but not limited to assisting in hiring, scheduling, evaluating, ongoing staff development, team meetings, and individual supervisory meetings.
- Develop and support staff learning and professional development goals
- Provide crisis intervention and support to Care Management staff to ensure individuals are receiving supports needed.
- Assist with the development and oversight of the on-call regional support schedules and provide crisis intervention and on-call support as required
- Ensure coverage and provide care coordination for assigned care manager caseloads and/or cover caseloads as needed.
- Assist in the development and implementation of policies and procedures to ensure employees are trained and adhere to established policies and procedures.
- Assist with the coordination and networking with other organizations, agencies, and service providers within the region to foster community collaboration in addressing the needs of individuals and families
- Monitor use of all Health Information Technologies for documentation to assure that all services are documented per PCC policies and procedures.
- Secure health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations.
- Assist with periodic internal audits to ensure regulations, compliance standards and PCC policies/procedures are followed.
- Prepare program and regional reports as requested
- Participate in and facilitate individual case reviews and conferences (as needed).
- Represent PCC on workgroups, committees, advisory groups or networks as assigned
- Establish and maintain positive relationships at all levels inside and outside the organization. Effectively communicate Prime Care’s services mission and vision both internally and externally.
- Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and PCC policies and procedures
- Perform all other duties relevant to the position as requested.
Knowledge, Skills, and Abilities:
- Ability to quickly establish and maintain leadership credibility with all key stakeholders.
- Knowledge of OPWDD and/or DOH program and service delivery system and regulations
- Proficient in budgeting, finance, quality and performance management metrics.
- Expertise in program development, preferably in services for people with developmental disabilities and/or health home care management.
- Must be able to multi-task, establish priorities, and meet deadlines.
- Ability to work independently and motivate others.
- Ability to communicate effectively, both orally and in writing.
- Ability to act quickly, assess and act accordingly in crisis situations
- Possession and ability to maintain a valid NYS Driver’s License; a vehicle is required to perform the job
Education and Experience:
- Bachelor’s degree in Healthcare, Business or Human Services Administration, or related field.
- Minimum of two years of supervisory experience
- Experience and history of proven success in managed care, services for people with intellectual and developmental disabilities and/or health home care management preferred.
Physical Requirements/Working Conditions:
- Ability to sit continuously
- Ability to turn/twist upper body
- Ability to use hand for repetitive action and fine manipulating for the purpose of keyboarding
- Must be able to travel throughout covered territories in Upstate NY as needed.
- Adhere to all Prime Care Coordination policies and procedures.
- Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
- Attend mandatory education and training modules as scheduled; obtain and maintain required certifications.
- Maintain all required certifications/training by State regulations and PCC policy
- Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress.