Clinical Rehabilitation Manager - Hybrid (Occupational Therapist or Physical Therapist) (Brooklyn, Bronx or Queens Office) - R13085-2

Essential Functions

Supports the implementation and day-to-day execution of rehabilitation program activities and workflows.
Assists in operational planning, coordination, and monitoring of program performance.
Applies established policies, procedures, and clinical guidelines in daily operations.
Identifies operational issues and escalates appropriately.
Coordinates rehabilitation services to ensure timely, appropriate, and effective care delivery.
Supports interdisciplinary care team discussions and addresses service-related issues.
Assists in evaluating member needs, including coordination for long-term care settings.
Supports utilization review activities to ensure services are appropriate and aligned with program standards.
Monitors documentation for completeness and alignment with regulatory and reimbursement requirements.
Identifies documentation or utilization issues and partners with leadership for resolution.
Supports quality assurance and performance improvement activities.
Ensures adherence to established regulatory, accreditation, and organizational requirements.
Assists with audit preparation and data gathering for regulatory reviews.
Coordinates with contracted providers and vendors to support service delivery and resolve issues.
Partners with internal teams (e.g., DME, care management) to address member care needs.
Communicates effectively with providers, members, and internal stakeholders.

Education And Experience

Bachelor's degree required
Master's or Doctorate preferred
Three (3) years experience in rehabilitation services or clinical operations required
Previous experience in managed care, home health or long-term care settings preferred

Competencies, Knowledge And Skills

• Working knowledge of rehabilitation services and healthcare delivery models
• Knowledge of regulatory requirements, service authorization, and documentation standards
• Ability to plan, prioritize, and execute work to meet operational goals and deadlines
• Ability to analyze information, identify issues, and support problem resolution
• Ability to effectively communicate complex information to diverse member populations and stakeholders
• Strong written and verbal communication skills
• Ability to collaborate effectively across interdisciplinary teams and external providers
• Ability to build and maintain effective working relationships
• Ability to support decision-making within established guidelines and escalate issues appropriately
• Demonstrated accountability for quality, accuracy, and completion of work
• Ability to adapt to changing priorities and support process improvements
• Ability to incorporate population-specific needs (e.g., geriatric, complex care) into care delivery

Licenses And Certifications

• Current, unrestricted Occupational or Physical Therapy license in state of New York required
• Valid driver's license, vehicle and verifiable insurance

Employment Conditions

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
• Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
• Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need.
• May be required to travel greater than 50% of time to perform work duties.
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer.
• Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members.
• Over 50% (Mobile) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties.

Compensation

• Compensation Range: $72,200.00 - $115,500.00
• 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.