Assistant Clinical Director – Bronx Office

Role Overview

• Responsible for managing the day-to-day activities of care coordination
• Ensures delivery of quality service and performance of the staff and team
• Provides support to the team for care management issues, problem resolution, complaint resolution and other member services related issues
• Manages and coordinates the activities of RSH MLTC care coordination team to ensure that care coordination meets with regulatory guidelines and the organization's objectives
• Plans, organizes, directs, coordinates and evaluates clinical aspects of RSHP Programs
• Plans and administers the operational and fiscal aspects of the Program
• Prepares and administers the Program’s Annual Budget in conjunction with Senior Management Staff
• Develops policies and procedures governing client care
• Establishes appropriate, New York State code compliant, personnel policies and procedures including those relating to hiring practices, health status examination, and periodic evaluation
• Participates in hiring, retention, evaluating, disciplining and termination of staff
• Ensures compliance, consistent with health rules of the New York State Department of Health
• Performs/reviews yearly evaluations of employees’ performance for Management, Clerical and Professional staff
• Develops job descriptions for each category of personnel
• Recruits and provides sufficient staff required to meet the Program’s responsibilities
• Plans, delegates, supervise and evaluate client care services provided by the Program
• Oversees the clinical supervision of staff to assure standards of care are met
• Prepares for the participation in certification visits from Regulatory/Accrediting bodies
• Ensures after hours phone coverage for Members
• Represents Program to community and performs outreach, marketing and liaison responsibilities

Requirements

• Bachelor's degree in nursing required
• Master's degree in nursing or healthcare related field preferred
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Three (3) years experience in home care, care management or related field required
• Previous experience with NY State regulations regarding Medicaid, Managed Long Term Care Health Plans required
• Previous management experience preferred
• Proficiency in Microsoft Office products, specifically Word and Excel
• Ability to define problems, collect data, establish facts and draw conclusions
• Ability to interpret an extensive variety of technical instructions and deal with several abstract, concrete variables
• Demonstrated knowledge of Medicare and Medicaid regulations
• Knowledge of applicable Federal, State and Local regulations
• Ability to effectively communicate information to chronically ill / geriatric members
• Demonstrated ability to integrate age specific requirements with individual developmental, mental, social and cultural needs
• Strong collaboration and conflict resolution skills
• Exception communication skills (written and verbal)

Benefits

• Comprehensive total rewards package
• Health insurance
• Paid time off
• Flexible work arrangements
• Professional development opportunities
• Bonus tied to company and individual performance