Director of Care Coordination

Prime Care Coordination is a human services agency that partners with people with intellectual and/or developmental disabilities to help them receive services and supports they need to live their lives in the most meaningful way.

PCC Values Its Employees by offering:

• Paid time off
• Paid Holidays
• Affordable health care coverage including health, dental, vision, starting as low as $10.00/month
• 401(K) Retirement plan
• Tuition Reimbursement
• Generous Employee referral program
• Employee Wellness Program
• Numerous other benefits, please apply to find out more

Summary:

The Director of Care Coordination for Prime Care Coordination (PCC) is responsible for leading efforts to design and develop all care coordination services for the Care Coordination Organization/Health Home (CCO/HH). In conjunction with the Executive Director and the Chief Operating Officer, the Director of Care Coordination will inform and execute the strategic direction and brand of care coordination for the CCO/HH that aligns with long term vision and goals of the I/DD service delivery system transformation to managed care. This role is responsible to develop, implement and monitor all day to day operations and employees for care coordination service delivery.

Essential Job Functions:

• Serve as contributing member of the PCC senior leadership team offering strategic thinking, planning and execution for the overall organization.
• Participates in organization strategic planning and aligns department goals with overall organization strategy.
• Develops, oversees, and monitors annual budget for Care Coordination (CC) department activities.
• Assist the COO in monitoring all purchases and expenses for CC programs.
• In conjunction with Human Resources and the COO, develops the organization staffing plan to ensure service delivery requirements are met.
• Participates in the recruitment, hire and development of CC management team and provides supervision and leadership.
• Develops, recommends, and oversees policies, procedures, and comprehensive training plans within the CC programs and ensure all employees are trained and adhere to established policies and procedures.
• Assist in the developing and implementing a comprehensive and person-centered approach to CC services ensuring cross systems integration for all individuals and families served.
• Provide direct supervision and support to the Associate Regional Directors.
• Empowers staff members to set, monitor, and achieve reasonably challenging goals that deliver on the mission and vision of Prime Care.
• Responsible for ensuring PCC has met and/or exceeded all requirements and expectations established by OPWDD and the DOH.
• Provide timely and relevant feedback to reinforce accountability for performance, behaviors, and results
• Collaborate with Quality Management services to assist with the development and monitoring of quality management plan and compliance issues pertaining to CC service delivery
• Provide oversight and ensure participation in Incident Management system for CC services.
• Conduct and coordinate program evaluation and quality improvement activities in CC service delivery.
• Coordinate and network with other organizations, agencies and service providers to foster community collaboration in addressing the needs of individuals and families, effectively communicating Prime Care's services, mission, and vision.
• Represent Prime Care Coordination on appropriate committees, boards, and task forces.
• Develop and oversee on-call support schedules and provide crisis intervention and on-call support as required
• Ensure compliance with all applicable local, State and Federal regulations and agency policies
• Perform all other duties relevant to the position as requested.

Knowledge, Skills, and Abilities

• Knowledge of OPWDD and/or DOH program and service delivery system.
• Proficient in budgeting, finance, quality and performance management metrics.
• Must be able to multi-task, establish priorities, and meet deadlines.
• Ability to work in a collaborative environment, work independently and motivate others.
• Ability to communicate effectively, both orally and in writing.
• Ability to act quickly, assess and act accordingly in crisis situations
• Basic technology skills and understanding of health records
• Maintain appropriate confidentiality and discretion at all times.

Education and Experience:

• Bachelor's Degree in Healthcare, Business or Human Services Administration or related field required; Master's Degree preferred.
• Minimum of five years of leadership experience with proven success in program and operations development.
• Experience and history of proven success in program development and managed care, services for people with intellectual and developmental disabilities and/or health home care management preferred.

Physical Requirements/Working Conditions:

• Ability to sit continuously
• Ability to reach above shoulder level
• Ability to turn/twist upper body
• Ability to use hand for repetitive action and fine manipulating for the purpose of keyboarding
• Must be able to travel throughout covered territories in Upstate NY as needed.

Corporate Qualifications/Expectations:

• Adhere to all Prime Care Coordination policies and procedures.
• Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
• Attend mandatory education and training modules as scheduled; obtain and maintain required certifications.
• Maintain all required certifications/training by State regulations and PCC policy
• Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress.

Prime Care Coordination is an Equal Opportunity Employer, and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law.

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