• Assistant Director, Assessments

    Location US-NY-New York
    Posted Date 4 weeks ago(5/24/2018 8:51 AM)
    Job ID
    2018-11788
    # Positions
    1
    Facility
    ArchCare Community Life
    Experience (Years)
    3
    Category
    Care Management
    Work Days Per Week
    5
    Shift
    D
    Shift Start Time
    9:00 AM
    Shift End Time
    5:00 PM
    Type
    Full-Time
    # Hours
    35
  • Overview

    The Assistant Director, Assessments is responsible for all activities related to the clinical assessment for enrollment and ongoing enrollment in the MLTC. The Assistant Director will provide oversight and/or manage case assignment, act as the SME, provide education to staff when gaps are identified and ensure all activities related to the clinical assessment are completed timely/meet regulatory time frames.

    Responsibilities

    • Oversight of the daily operations related to Assessments completed by RN’s for potential / current members for the MLTC product.
    • Maintain efficient work flows and communicate any revisions of work flows to staff and / or staff who are impacted in other business areas.
    • Hire, evaluate and assign staff according to program policy and procedures. Coordinates staff development, training and identifies gaps in knowledge.
    • Collaborate with the Director of Member Acquisition to set specific objectives for the departmental staff and introduce tools to best equip staff for optimal performance.
    • Motivate, support, provide educational opportunities, and give performance feedback to direct reports. Using good written and verbal communication, work effectively with Director of Operations and others on the management team.
    • Ensure quality and accuracy throughout the enrollment and reassessment processes; managed by monthly audits
    • Perform at all times in compliance with all company rules, state and federal regulations and laws and in keeping with the traditions, mission and ethical boundaries of the Catholic Health Care System and its program
    • Providing help and advice to customers, using the organization’s products or services and offering only services / products to support members needs
    • Communicating courteously with customers by telephone, email and face to face.
    • Provides monthly data to demonstrate Assessment Team activities and/or perform ad hoc data investigation.
    • Manages work of all delegated/vendor agencies including communicating changes in workflow, regulations, issuing CAP’s and Invoice processing
    • Develop and manage department staff to assure that relevant and current information related to expectations and job performance is communicated consistently and in a timely manner
    • Work with other managers to assure solid communication and coordination of care of new enrolled members
    • Work with marketing and enrollment staff to coordinate assessment and enrollment process for applicants and assures the smooth transition of applicants through the intake process
    • Maintain flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities
    • Coordinate and ensure that staff completes all mandatory in-services and yearly competencies
    • Collaborate with Care Management Directors, Clinical Managers and staff in identifying and scheduling interim assessments according to State regulations and internal policies
    • Develops and maintains tracking mechanisms for assessments.
    • Ensure that assessment staff are current in all required NYS assessment functions.
    • Any other tasks identified that are related to the success of the Assessment Team and organization.
    • Perform other duties as assigned.

    Qualifications

    Education Requirements

    • RN Diploma
    • Bachelor’s degree in Nursing or extensive experience in enrollment strongly preferred

    Experience Requirements

    • A minimum of 3-5 years of experience in Medicaid Managed Care
    • Have 1 year of experience with a frail and elderly population

    Experience Desired

    • Previous experience in a Medicaid Managed Care environment with enrollment and member services oversight strongly preferred
    • A minimum of 3-5 years in managed care preferred

    Skill Desired

    • Innovative, high energy level, comfortable performing multiple tasks while also supervising day to day activities
    • Excellent interpersonal and communication skills, with the ability to listen beyond words. Enhanced ability to maintain positive relationships with diverse personalities.
    • High degree of integrity and discretion in confidential matters
    • Excellent organization and follow up skills, ability to delegate effectively and to ensure that promised performance is delivered
    • Resourceful and well-organized, capable of daily interactions and in need of sensitivity, timeliness and solid documentation and follow up.
    • Participative management style and advocate of integrated team approach
    • Ability to establish credibility and be decisive while recognizing and supporting member satisfaction and regulatory compliance issues.
    • Ability to produce reports regarding Quality/Compliance/Productivity
    • Adaptable to changes in regulations and able to steer the department according to both compliance and business needs.

     

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