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Director of Health Homes
3 months ago
**Health Home Care Management**
**Director**
Essential Job Functions
**Position Overview**
**Qualifications**
Reports to: Senior VP of Health Home Care Management
Position Type: Full-Time Exempt In-office
Hours: 37.5 weekly
Pay Range: $70,000.00 - $75,000.00
**Position Responsibilities**
Possible duties may include but are not limited to the following:
- Provide overall administration/management of Health Home Care Management program and services, inclusive of staff and clients served out of SKIP’s NYC office, with additional support across other regions as needed. Direct, coordinate, inspire, and guide provision of quality services to children and families.
- Promote leadership, accountability, collaboration, and positivity across the Care Management Team.
- Manage billing, budgets and revenue, shape policies, develop and implement strategic plans.
- Work as a collaborative partner with other Directors and Executive staff in establishing processes and procedures to ensure mandated regulations and best practices are understood and adhered to.
- Translate complex concepts, including regulatory policy, in ways that can be understood by all members of the organization and to ensure SKIP’s practices align with State, Federal and Health Home policy directives. Participate in process reengineering and improvement initiatives to identify opportunities for continued improvement, ensuring the Department continues to operate efficiently.
- Interact with internal and external contacts (e.g., vendors/service providers, State and government agencies, and various other stakeholders). Liaison with Health Homes, Waiver Programs/Providers, Managed Care Plans and NYS DOH, collaborating/coordinating with all ancillary staff and contacts.
- Manage Health Home and Children’s Waiver Enrollments, Level of Care (LOC) processes-outcomes, and client Transition activities. Improve outreach and intake practices and increase program enrollments.
- Provide technical assistance and establish training and curriculum of processes, procedures and best practices for staff.
- Monitor program outcomes, deliverables, quality improvement initiatives, compliance, and report on departmental performance. Interpret and manage data and outcomes for evaluative purposes.
- Report directly to Sr. VP of Health Homes, regularly report departmental status to Executive team where appropriate, and provide weekly direct supervision to Supervisors who are, in turn, responsible for managing Care Managers. Provide additional supervisory oversight to Quality Assurance, Care Manager, Care Navigator or other departmental staff as needed. Maintain ongoing physical presence and contact with staff in office, offering as needed 1:1 and team support, along with recurring supervisory meetings.
- Fill in for Supervisors and other Care Management staff as needed when staff are absent.
- Work closely with staff and families to ensure necessary services are delivered and SKIP’s mission promulgated. Participate in site visits, in-person meetings, conference calls, etc. as needed.
- Collaborate with other SKIP Directors and staff to meet Departmental and Organizational goals.
- Participate in development of grant proposals.
- Conduct comprehensive reviews of client records, both physical and electronic, reinforcing quality and comprehensive case reviews across Care Teams.
- Assist Care Managers and Supervisory staff with documentation transmittals and obtaining electronic signatures on program paperwork, through effective use of Adobe Sign.
- Conduct follow-up to obtain essential documentation from different governing bodies and collateral contacts. Assist with documentation uploads to electronic health records as needed.
- Ensure Health Home auditing protocols are adhered to and monthly-quarterly QA goals met, inclusive of introductory staff reviews, full chart audits, billing audits, audits of records in the process of closure and/or transition out of Health Homes, external State/OMIG audits, and preparing case files to be scanned. Respond to Health Home comprehensive, quarterly audits, and routine quality checks. Dispo Updates submitted as needed. Promote and lead quality assurance-improvement initiatives.
- Utilize internal tracking systems to monitor compliance of required eligibility, acuity and levels of care.
- Ensure staff address the needs of families served in a consistent, comprehensive and timely manner.
- Assist with and update shared lists of resources and provider contacts to be used by care manager staff.
- Assist with care manager retraining on program policies as needed, in collaboration with Staff Trainer.
- Review and process Child and Adolescent Needs and Strengths (CANS) assessments in UAS.
- Support care management staff to maintain neat and presentable physical & electronic case records for each person served, maintaining quality/audit-ready records.
- Assist supervisors in reviewing and finalizing plans of care/assessments and help
