Coordinating Mgr - L B

NYC Health + Hospitals; New York (NY); Sur place; USD 90 000 - 120 000; Plein temps

Résumé du poste

NYC Health + Hospitals/Community Care seeks a qualified supervisor to oversee care coordination programs, guide field staff, and ensure high-quality, patient-centered services across Brooklyn, Manhattan, Queens and The Bronx. The role emphasizes collaboration with medical teams and program administration.

The position requires training, compliance with federal/state guidelines, and the improvement of care transitions, while reducing unnecessary hospital utilization.

Qualifications

• Master’s Degree in a health care field with 1 year of full-time health care experience.
• Bachelor’s Degree in health care or related field with 2 years of full-time health care experience.
• Satisfactory equivalent combination of education, training and experience with at least a high school diploma.

Responsabilités

• Consult with medical staff to plan and coordinate joint patient and management objectives.
• Provide administrative supervision for a health service program.
• Plan, develop, and conduct staff training and ensure use of new equipment.
• Allocate staff based on workload and resources.
• Coordinates research projects and conducts studies to evaluate rehabilitative programs.
• Direct the processing of orders for equipment and supplies for patients.
• Clarify ambiguities with staff and secure necessary documentation and certification.
• Ensure compliance policies are current and followed.
• Supervise office administration and record-keeping activities.
• Supervise employee performance and development in areas of responsibility.
• Prepare and publish operational manuals and procedures.
• Apply ICARE values in daily operations.
• May supervise studies and recommend system/process improvements.

Connaissances

Supervisory experience

Care coordination

Healthcare administration

Project planning

Training programs

Formation

Master’s Degree in a health care field

Bachelor’s Degree in health care or related field

High School diploma or equivalent with related experience

Description du poste

Marketing Statement

NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.

Marketing Statement

NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Duties & Responsibilities

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.

Essential Duties And 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.
• Coordinates 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.
• 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.
• Effectively applies ICARE values: Integrity, Compassion, Accountability, Respect, and Excellence.
• May supervise studies related to the service/program and analyzes modifications and development of systems and procedures to improve departmental operations. Makes recommendations and implements.
• May analyze 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.

Minimum Qualifications

• Master’s Degree from an accredited college or university; and one (1) year of full-time experience in a health care setting; or
• Bachelor’s Degree from an accredited college or university; and two (2) years of full-time experience in a health care setting; or
• 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 High School diploma or its educational equivalent, approved by a State’s Department of Education or a recognized accrediting organization.

Department Preferences

• 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.
• Attend meetings, committees, and trainings as requested and or and or other duties as deemed necessary.
• Knowledge in Health Home and Care Coordination Services

Years Of Experience

Minimum of 1 years’ experience, care management, with chronically ill, HIV/AIDS, homelessness, and/or substance abuse patients managing chronic conditions/social needs