Setting: In-person Clinic, community engagement activities (internal + external)
Salary Range: $110,000 - $119,000
Weekly Hours: 40
Schedule: Monday - Friday 8:00am - 5:00pm
Noted for Education Requirements: Degree from a Nursing accredited school. Bachelor's degree preferred. Other Clinical degrees will be considered, such as Social Work, Physical Therapy, Occupational Therapy, etc.
JOB PURPOSE:
The Program Director, under the direction of the Care Delivery Regional Director or designee, supervises all day-to-day operations of the PACE site, including but not limited to Clinic, Day Health Center, Front Desk, Facilities, Interdisciplinary teams, and coordinates the multi-disciplinary integrated care in the community.
JOB RESPONSIBILITIES: Balances & allocates IDT and related resources throughout the site and ensures adequate team assignments and coverage.
Monitor and ensures timely, effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants.
Provides oversight of the provision of services that impact participants' care.
Coordinate in-service trainings and management directives to support the development and advancement of team members.
Maintain knowledge of all applicable CMS, DOH, and PACE-specific guidelines, including organizational and departmental policies and procedures.
Collects data for operational metrics geared towards ensuring participants are treated in the right venue at the right time and at the right cost at the highest levels of quality.
Participates in all quality assurance and regulatory compliance activities to ensure appropriate regulatory certifications.
Serves as administrative on-call during non-operational hours of the physical sites.
Collaborates with departments within the clinical development pillar (medical board, research & innovation, clinical standards, and processes) to establish new & improved care delivery processes and treatment protocols.
Oversee the enrollment process to ensure all participants has a smooth intake process without affecting prompt access to their clinical care.
Work in conjunction with business development to ensure the site referral and enrollment targets are reached.
Enrolls/dis-enrolls participants in the government system as applicable.
Monitor and eliminate voluntary disenrollment.
Coordinate with the Learning Center the training and onboarding for new Care Delivery team members.
Oversee and ensure all disenrollments are managed and interventions created when applicable and are established to prevent the participant from disenrolling.
Monitor and ensures all documentation for all participants is complete and accurate, including and not limited to enrollment, disenrollment, electronic/paper medical records, and any other clinical documentation.
Ensures all incidents are investigated and addressed accordingly. Ensure Level 2 investigation is completed in a timely manner according to regulation.
Investigates and assists in documenting and resolving customer issues and grievances in a timely, accurate, and courteous manner. This includes working with the other departments to fix the problem(s) source.
Participate in special projects and assignments as required.
Managerial Responsibilities Ensures that direct reports conduct their duties according to applicable state / federal rules and regulations as well as the organization's policies and procedures.
Evaluates the work performance and competency of direct reports. This includes ongoing informal feedback/counseling/support and completion of annual performance reviews.
Holds staff accountable for their performance.
Follows the organization's policies regarding disciplinary action. Engages Human Resources as needed for guidance on disciplinary actions and terminations.
Develops individual professional development plans with direct reports, including identifying in-service training needs and interests.
Investigates and resolve employee grievances and complaints. Engages with Human Resources as appropriate.
Participates in the annual budgeting process for the department; manages departmental budget; approves departmental expenditures.
Weekly Hours: 40 Hours
Schedule: 8:00 AM - 5:00 PM
JOB QUALIFICATIONS:
Education: Degree from a Nursing accredited school. Bachelor's degree preferred. Other Clinical degrees will be considered, such as Social Work, Physical Therapy, Occupational Therapy, etc.
Experience: Minimum of five (5) years of healthcare administration experience in a Medical Practice, Diagnostic Treatment Center (DTC), Manage Care Organization, certified home health agency (CHHA), acute care, medical-surgical, critical care, or Nursing Home experience required.
Minimum of three (3) years of Management (Manager level and up) experience.
Minimum of one (1) year of experience working with the elderly
Demonstrate proficient typewriting skills. Typewriting tests must be taken with a minimum of 35 words per minute and over 90% accuracy, preferably.