• Review and ensure effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants.
• Facilitate and complete the process of Interdisciplinary Team (IDT) meetings Service Delivery Requests (SDR) and other meetings. This includes completing the attestations as needed. Support and collaborate with the Virtual IDT as needed.
• Serve as a manager on call during nonoperational hours of the physical sites and was responsible for followups including followup documentation and initiating grievances on participant s/caregivers behalf in a timely manner.
• Responsible for running necessary Clinical Delivery reports.
• Participates and represents the Community Health Nurse (CHN) in IDT meetings when required.
• Balance and allocate staffing and related resources throughout the site and ensure adequate team assignments and coverage as a seamless operation.
• Responsible for ongoing communication with IDT and necessary parties involved to coordinate care consistent with the participant s health care needs and goals to support in attaining and maintaining optimal health status.
• Collaborate with clinicians to review UAS and the UAS analyzer system to ensure the accuracy of their assessments.
• Ensure all incidents are investigated and addressed accordingly. Ensure Level 2 investigation and documentation are completed in a timely manner according to the CLHC regulation.
• Ensure documentation for participants is complete and accurate including and not limited to enrollment disenrollment electronic/paper medical record and any other clinical notes.
• Review participant s charts for quality and address any deficiencies.
• In collaboration with the Transitions in Care Team provide care management services across sites and communicate with appropriate team members facility discharge planner and home care coordinator when members are transitioned between care settings.
• Coordinates facilitates and arranges for longterm care services in nursing homes rehab facilities etc. as needed
• Monitor care management activities services and members responses to interventions to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to meet needs and goals.
• Ensure documentations are in accordance with CLHC standards and federal/state regulations
• Maintain uptodate knowledge about current healthrelated issues procedures evidencebased clinical practices guidelines medications and impacting health and practice standards.
• Recommend and contribute to improvements in services programs policies and procedures to ensure optimum care and services to members.
• Collaborate with Human Resources Department (HR) in conducting Interviews coaching and disciplinary action if needed. Assist in onboarding and professional development training of staff to ensure compliance with policies/procedures/regulations as well as developing a continuous learning environment focused on growth and continued advancement. Ensures appropriate regulatory compliance is effective and being met at all federal and state levels.
• Evaluates the work performance and competency of direct reports. This includes ongoing informal feedback/counseling/support and completion of annual performance reviews.
• Ensures that direct reports conduct their duties according to applicable rules and regulations as well as the organization s policies and procedures
• Investigate and resolve employee grievances and complaints.
• Serve as the Director of Patient Services (DPS) for the LHCSA as assigned.
• All other duties as assigned.

Requirements

Education:

• Degree from an NLN accredited nursing school (RN BSN required or at least 5 years experience in health care setting).
  

• Successful completion of an accredited Nursing Program is required.
  

• A Baccalaureate degree is highly desired.
  

• Completed NYSEDapproved infection control coursework.
  

• A minimum of 8.0 education contact hours may include contact hours of mandatory training requirements such as infection control coursework.
  

• Case Management Certification recommended within 2 years of the employment
  

Experience:

• Minimum of 2 years of administrative experience in a management capacity in a certified home health agency (CHHA) longterm home health care (LHCSA) acute care medicalsurgical and/or critical care nursing home experience diagnostic & treatment clinic preferred.
  

• Customer Service experience is required.
  

• Managed longterm care insurance experience beneficial.
  

• Minimum of 1year experience working with the elderly
  

• Supervisory experience is required.
  

License Registration:

• Current active and unrestricted license and registration in New York State required as a Registered Nurse.
  

Language:

Bilingual preferred.

Physical Requirements

Individuals must be able to sustain certain physical requirements essential to the job. This includes but is not limited to:

• Standing Duration of up to 8 hours per day in the field/community
  

• Sitting/Stationary positions Sedentary position for a duration of up to 68 hours a day for consecutive hours/periods.
  

• Lifting/Push/Pull Up to 50 pounds of equipment baggage supplies and other items used in the scope of the job using OSHA guidelines etc.
  

• Bending/Squatting Must be able to safely bend or squat to perform the essential functions under the scope of the job.
  

• Stairs/Steps/Walking/Climbing must be able to safely maneuver stairs climb up/down and walk to access work areas. The position requires the individual to be able to travel and walk between sites/locations and work areas throughout the day.
  

• Agility/Fine Motor Skills Must demonstrate agility and fine motor skills to operate and activate equipment devices instruments and tools to complete essential job functions (ie. typing use of supplies equipment etc.)
  

• Sight/Visual Requirements Must be able to visually read documentation papers orders signs etc. and type/write documentation etc. with accuracy.
  

• Audio Hearing and Motor Skills (language) Requirements Must be able to listen attentively and document information from patients community members coworkers clients providers etc. and intake information through audio processing with accuracy. In addition must be able to speak comfortably and clearly with language motor skills for customers to understand the individual.
  

• Cognitive Ability Must be able to demonstrate good decisionmaking reasonableness cognitive ability rational processing and analysis to satisfy essential functions of the job.
  

Benefits

Weekly Hours: 37.5 Hours

Schedule: 8:30 AM 5:00 PM

Salary Range (MinMax):