Health Services Program Manager

Job Title: Health Services Program Manager

Redwood Family Care Network is seeking a highly skilled Health Services Program Manager to join our team. As a key member of our organization, you will be responsible for monitoring the overall medical coordination of individuals with intellectual and developmental disabilities.

Key Responsibilities:

• Collaborate with the WA Residential Director to ensure clients receive high-quality services and their needs are met.
• Develop and maintain expert knowledge of regulatory requirements pertaining to medical needs, guidelines, laws, etc. in the supported living field.
• Re-train DSP's as needed when medical errors occur or trends are noted.
• Communicate with the Nurse Delegation Team, DDA, and medical professionals regarding individual care, including written and verbal correspondence.
• Investigate all incident reports involving clients, interview staff to collect necessary documentation, create a detailed report, and schedule a meeting with the Regional Director and Director of the department.
• Generate reports and provide recommendations during leadership meetings in regards to incident reports and/or behaviors.
• Manage Nurse Delegation by ensuring clients requiring delegated tasks are scheduled for required visits, documentation is received and up to date, and that ample qualified staff are delegated to complete delegated tasks.
• Maintain medical records as required by regulatory guidelines.
• Report suspicions of abuse/neglect/exploitation per guidelines.
• Complete and remain current in First Aid, CPR, Therapeutic Options, Infection Control, and Bloodborne Pathogens Training.
• Monitor health needs, including medications, special diets, and notify supervisors of any outstanding needs.
• Attend Supervisor meetings, chaired by the WA Residential Director, to review medical matters pertaining to the facilities/clients as requested.
• Provide Lift and Transfer assistance training, requiring the ability to bear and maneuver up to 50 or more pounds of unbalanced weight.
• Work with the WA Residential Director to respond to corrective action in regards to medical compliance within required time frames.
• Ensure each facility has the needed medical documentation and forms.
• Ensure each facility has updated and relevant medical and medication protocols and provides staff training as needed.
• Regularly review on-site medications and medical documentation.
• Upload medical documentation into client files within one week of completion.
• Communicate with Client Guardians and Case Managers as needed regarding medical appointments, medication changes, and needed procedures.
• Work with the WA Compliance Director to ensure we are in compliance with all required dates: Medical appointments, consent forms, etc.
• Check in cycle medications, record, and implement medication changes in the facilities.
• Coordinate with supervisors to ensure medical appointments are being completed and that medical documentation is being completed properly.
• Attend appointments as needed for new client PCP set up, mental health, or behavioral needs.
• Enter scheduled client appointments into tracking systems.
• Attend medical appointments as needed for clients with high medical needs.
• Scan appointment information to third parties as requested.
• Coordinate with the WA Compliance Director to conduct one full medical QA monthly for each facility.
• Provide disciplinary action with staff and program supervisors as needed for documentation, cleanliness of homes, and overall compliance in regards to medical concerns.
• Set up new client pharmacy agreements, personal care supplies, medical appointments, dental appointments, and mental and/or behavioral health appointments.
• Record and maintain client information such as personal data in databases and files.
• Schedule nurse delegation for staff identified as needing it by Program Supervisors. Ensure proper documentation for nurse delegation is completed and on-site.
• Monitor required dates for upcoming medical appointments, care plans, and consents.
• Create and modify documentation forms for clients as needed for medical tracking.
• Review medical documentation to ensure follow-ups are scheduled and treatment plans are completed prior to filing in client retention.
• Review client plans for accuracy regarding medications, medical support needs, and hygiene support needs.
• Ensure clients have needed hygiene supplies by setting up accounts and ensuring staff know how and when to order supplies as needed.
• Manage all MARS between the pharmacy and within our database as needed.
• Work with Directors to ensure COVID response plans are being followed for the whole company.
• Manage COVID reporting to state and local health departments for all departments.
• Ensure staff credentials are emailed or faxed to nurse delegators for all departments.
• Ensure nurse delegation information is up to date and accurate in client homes for all departments.
• Monitor client dates for expiring care plans, consents, and medication treatment for all departments.
• Other duties as assigned.

Preferred Skills:

• Ability to identify potential areas of compliance vulnerability and risk, assists in developing/implementing corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
• Experience with medications and medical information for vulnerable populations.
• Ability to act as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated, and resolved.
• Ability to build great working relationships with employees and communicate effectively.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to calculate figures and amounts. Knowledge of computer spreadsheet programs, word processing software, and the ability to learn new programs effectively.

Work Environment:

• Half of the work environment for this position is a fast-paced work environment that requires multitasking, working under pressure, self-directed, and frequent interruptions.
• Half of the work is done in the field, including driving to clients' homes in multiple counties and cities.
• Must be able to lift and/or transfer a minimum of 50 pounds.
• Frequently required to talk and hear. Quiet to moderate noise level in work environment.
• Often required to sit for long periods of time, use hands and fingers to handle.
• While performing the essential functions of this job, the employee will be exposed to clients who may ask inappropriate personal questions, display socially unacceptable behaviors, use profanity and sexually explicit phrases, make insulting remarks or threats, and exhibit defiance, dishonesty, and assaultive behaviors.

Education and/or Experience:

• Certified Medical Assistant License and 1-year field experience (or)
• Licensed Practical Nurse and 1-year field experience
• Two years specialized training emphasizing Social Services, at least three years experience working within a business, social services, or educational setting.

Limitations and Disclaimer:

• The above job description is meant to describe the general nature and level of work being performed; it is not intended as an exhaustive list of all duties, responsibilities, and required skills for the position. Employees will be required to follow any other job-related instructions and to perform other duties requested by their supervisor in compliance with Federal and State Laws.
• Requirements are representative of minimum levels of knowledge, skills, and/or abilities necessary to perform each duty proficiently. Continued employment remains on an at-will basis.

Compensation & Benefits:

• Medical, Vision, and Dental Insurance
• Voluntary Short-term and Long-term Disability
• Voluntary Accident, Critical Illness, and Hospital Indemnity
• Employee Assistance Program (EAP)
• Company Paid Basic Life Insurance & ADD plus Voluntary Life Insurance
• Accrued Paid Time Off (PTO Vacation & Sick Time)
• Unlimited Peer Referral Program
• Payday on demand through Dayforce Wallet
• Working Advantage employee discount program
• Health Savings Account (HSA)
• Flexible Savings Account (FSA)
• 401(K)
• Capella University Discount

Requirements & Qualifications:

• Certified Medical Assistant License and 1-year field experience (or)
• Licensed Practical Nurse and 1-year field experience
• Two years specialized training emphasizing Social Services, at least three years experience working within a business, social services, or educational setting.

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