Care Delivery Manager RN- Full Time Contract- Ridgewood, Queens, NY

JOB PURPOSE:

Responsible for supporting the nursing standards of excellence with advance

professional education to deliver high-quality care. Serve the organization as a

member of the management team, working alongside with all departments and

employees to support and oversee the day-to-day operations. Provide

guidance, and deliver best practices in achieving organization's objectives,

goals, and mission. Cultivate an environment dedicated to improving

experience, enhancing satisfaction and retention. Provides care coordination in

a manner that is sensitive to age, gender, sexual orientation, cultural, linguistic,

racial, ethnic, religious backgrounds, and congenital or acquired disabilities.

JOB RESPONSIBILITIES:

- 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 non-operational hours of the physical

sites and responsible for follow ups including follow up documentation

and initiating grievances on participants/caregivers' behalf in timely

manner.

- Responsible for running necessary Clinical Delivery reports.

- Participates and represents the Community Health Nurse (CHN) in all IDT

meetings, when required.

JOB DESCRIPTION

- 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 participants' 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 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 client regulation.

- Ensure documentation for participants are complete, accurate, including

and not limited to enrollment, disenrollment, electronic/paper medical

record, and any other clinical notes.

- Review participants' 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 long-term 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 client standards and

federal/state regulations.

- Maintain up-to-date knowledge about current health-related issues,

procedures, evidence-based 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.

- Only act within the scope of the individual's authority to practice.

- Meet a standardized set of competencies for the specific position

description established by the PACE organization before working

independently.

- Acting member of the IDT.

- All other duties as assigned.

Schedule: M-F 8:30AM - 5:00PM

Weekly Hours: 37.5

QUALIFICATIONS:

Education:

- Degree from an NLN accredited nursing school (RN, BSN required or at

least five (5+) years' experience in health care setting).

- Successful completion of an accredited Nursing Program is required.

- A Baccalaureate degree is highly desired.

- Completed NYSED-approved 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 two (2) years of

the employment.

Experience:

- Minimum of two (2+) years of administrative experience in a management

capacity in a certified home health agency (CHHA), long-term home

health care (LHCSA), acute care, medical-surgical, and/or critical care,

nursing home experience, diagnostic & treatment clinic preferred.

- Customer Service experience is required.

- Managed long-term care insurance experience beneficial.

- Minimum of one (1+) year of experience working with a frail or elderly

population or, if the individual has less than one (1) year of experience but

meets all other requirements, must receive appropriate training from the

PACE organization on working with a frail or elderly population upon

hiring.

- Supervisory experience is required.

License: Current active and unrestricted license and registration in New York

State as a Registered Nurse required.

Additional Requirements:

- Be legally authorized (for example, currently licensed, registered, or

certified if applicable) to practice in the State in which the healthcare

professional will perform the function.

- Be medically cleared for communicable diseases and have all

immunizations up-to-date before engaging in direct participant contact.

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 6 hours a day.

- Sitting/Stationary positions - Sedentary position in duration of up to 6-8

hours a day for consecutive hours/periods.

- Lifting/Push/Pull - Up to 50 pounds of equipment, baggage, supplies, and

ability to lift patients safely and using OSHA guidelines, etc.

- Bending/Squatting - Must be able to safely bend or squat to care for

patients, use medical supplies, etc.

- Stairs/Steps/Walking/Climbing - Must be able to safely maneuver stairs,

climb up/down, and walk to access work areas 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 (ie.

typing, use of medical supplies, equipment, etc.)

- Sight/Visual Requirements - Must be able to visually assess patients, read

orders 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, 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 decision-making,

reasonableness, cognitive ability, rational processing, and analysis to

satisfy essential functions of the job.

Disclaimer: Responsibilities and tasks outlined in this job description are not

exhaustive and may change as determined by the needs of the company.