Coordinating Manager - L B

Purpose of Position

This class of positions encompasses supervisory or administrative work of varying degrees of difficulty and with varying degrees of latitude for independent initiative and judgment in the delivery of health program and support services.

Duties & Responsibilities

• Consults with medical and professional staff of other departments and staff from associated health care fields to plan and coordinate joint patient and management objectives.
• Acts as a liaison between the Department of Medical Services and other administrative divisions.
• Provides administrative supervision for a health service program.
• Plans, develops, and may conduct training programs to maintain proficiency of staff and use of new equipment and methods.
• Allocates staff on basis of workload, space, and available equipment.
• Makes recommendations and implements.
• Covers research projects and conducts special studies to evaluate various rehabilitative programs in the department and within the overall objective of the department.
• Directs the processing of orders for requisitioning of equipment, prosthetic appliances, and medical supplies for patients.
• As required, consults with medical, nursing and other staff involved in treatment to clarify ambiguities and secure documentation of the records and to secure necessary and timely certification and verification.
• Analyzes patient records with clinical staff to determine whether they document that the length of stay and medical services rendered are consistent with reimbursement formulas, completing necessary forms.
• Ensures that compliance policies and procedures are current and followed.
• Supervises the office administration and office record keeping activities of the department.
• Is responsible for employee supervision, performance and employee development of assigned personnel in areas of responsibility and accountability.
• Supervises the preparation and publication of operational manuals and procedures.

Minimum Qualifications

• A master’s degree from an accredited college or university in Public Health, Public Administration, Business Administration, Social Work, Psychology or Rehabilitation Counseling; and one (1) year of full-time experience in medically oriented health care and medical support systems environment.
• A bachelor’s degree from an accredited college or university in disciplines listed in “1” above; and two(2) years of full-time experience in medically oriented health care and medical support systems environment.
• A satisfactory equivalent combination of education, training and/or experience, in which each year of relevant training and/or experience can be substituted for 30 semester credits from an accredited college or university. However, all applicants must at least have a bachelor’s degree.

Department Preferences

With the support and supervision of the Care Coordination Assistant Director, the Care Coordinator, Complex Care (CCSP) will manage a panel of high-need members (e.g. HARP, AOT, Adult Home, Health Home Plus, high utilizer BH/HIV etc.), providing field-based care coordination. The CCSP is responsible for assessing, care planning, and connecting high need care coordination candidates/members to a variety of community-based services including but not limited to medical, substance use recovery oriented services, mental health services, HCBS, medication management, housing support, transportation, peer support, and other member needs that may arise.

Essential Duties And Responsibilities

• Provide daily oversight of an assigned panel of high-need candidates/members, delivering interventions designed to reduce unnecessary emergency department (ED)/emergency room (ER) and inpatient (IP) utilization, increase connection to primary care/behavioral health care, and demonstrate improved health outcomes for the served population.
• Communicate changes in member’s status (e.g. mental health, medical, social determinants impacting health and wellness) to the care team.
• Provide daily oversight of an assigned panel of candidates/members, delivering interventions designed to reduce unnecessary emergency department (ED)/emergency room (ER) and inpatient (IP) utilization, increase connection to primary care, and demonstrate improved health outcomes for the served population.
• Administer program requirements as defined by all applicable federal, state, local, and agency guidelines (i.e., assessments, care plans, documentation of services, etc.) and other Health Home documentation required to address member needs.
• Monitor alerts (i.e., hospital admission/discharge, incarceration, ER/ED visit, etc.) and follow up with members promptly, verifying appropriate levels of care and access to all needed medications, therapies, and supports in managing care transitions.
• Provide regular, field based face-to-face visits with members/candidates in home and/or community settings, ensuring core services and HML are completed monthly.
• Participate in case conferences to ensure that each member’s care team is aligned with a shared plan of care and up-to-date information on each member.
• Provide written status updates on a regular basis as requested (case conference tool, status update tools, emails, etc.) and verify documentation of all such activities in member chart.
• Adhere to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation standards including HARP Eligibility Assessment, HARP Plan of CAre, LOSD, etc.)
• Manage schedule to allow for adequate field time, travel time, and time to complete administrative duties of position.
• Maintain a directory of provider services including medical, behavioral health, social support and other services as needed to support referral and coordination activities of assigned staff; Identify valuable resources to share with the rest of the team to the benefit of all members.
• Proactively adhere to policies and procedures; participate in department/agency trainings/workshops as directed.
• Develop and maintain proficiency as a user of the Electronic Health Record System(s) of the agency; uphold all policy related to use of the system and documentation time frame.
• Carry a caseload of 20 patients.
• Willingness and ability to regularly travel between assigned work sites.
• Attend meetings, committees, and trainings as requested and or and other duties as assigned.

Knowledgeable In Health Home and Care Coordination Services

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button or forward your resume to CommunityCareCareers@nychhc.org noting the above Job ID # 137244.