About this role
Overview
The Care Manager Director provides oversight of care management and direct supervision of Care Manager Supervisors in their designated region. The Care Management Director is responsible for regional quality oversight, integration and management of all activities related to their regional teams following CDNY’s care coordination model of care, including individual’s care plans (Life Plans), ensuring effective linkages and coordination of medical, social, behavioral, habilitation, home & community-based services, long term supports and services, etc. between individuals, their interdisciplinary teams (IDT) and all service providers.
Additional responsibilities include monitoring of assessments, life plans, electronic record notes, service authorizations, and billing. The CM Director will fully support methods and technology that provide for the highest quality of care management and person-centered services for individuals. The position is also responsible for ensuring compliance with all state and federal regulations, as well as organizational polices. The individual will work in cooperation with other departments, including but not limited to the fiscal department, human resources, and quality assurance, to ensure that the organization is well managed in its entirety. Cultural Diversity will be valued, promoted and fully supported.
At Care Design NY (CDNY) we share in a unified organizational culture and the work we do is in furtherance of our collective ability to achieve our shared organizational purpose, vision, mission, and values as stated below:
Purpose - Connecting people to their chosen supports to live a healthy and meaningful life. Vision – We see a world that is accepting, inclusive, and promotes positive health for all individuals with intellectual and /or developmental Disabilities (I/DD). Mission – Our mission is twofold: to provide compassionate, skilled person-centered care planning that includes a holistic approach to health and wellness, and to advocate for a disability inclusive world. Values -
- Committed - We are committed to developing successful employees across the organization so members and families can receive high-quality supports.
- Compassionate - We are compassionate about creating open, honest relationships through collaboration, active listening, and showing empathy for others.
- Connected - We are connected to each other through a sense of belonging that enriches the work environment and shapes a positive experience for members and families.
All full-time positions come with generous benefits including: health, vision and dental insurance, paid time off, $3000 tuition reimbursement per calendar year, and up to $250 of professional development courses! CDNY is also a qualifying employer under the Public Service Loan Forgiveness (PSLF) program.
Click here to view our current benefits summary.
Travel is primarily local during the business day, although occasional out-of -area may be expected. Travel required to regional offices as needed, for enhanced support of teams.
Responsibilities
- Oversee and manage the coordination and integration of all Medicaid and Medicare covered services and non-covered services with their Care Management (CM) team, the individual/family and their inter-disciplinary team.
- Provide direct supervision to CM Supervisors and coordinates assignments of their Care Management teams.
- Monitor care coordination activities and time lines related to assessment, care planning (Life Plans) of individuals, service billing and facilitation of services to meet individual needs and ensure positive outcomes.
- Ensure coordination and integration of all long-term care supports and services, OPWDD home & community-based services, health and behavioral services and other identified supports and services.
- Provide quality review and audits service authorization and billing submissions.
- Perform quality assurance audits of care coordination documentation and performance to ensure for compliance and positive outcomes.
- Review results of internal program audits and addresses any identified areas of deficiencies with the regional teams, provides training as needed.
- Ensure compliance with all state and federal regulations and organizational policies.
- Implement actions to address identified areas of improvement and shares outcomes/results of activities with leadership staff.
- Identify gaps in adequacy of provider network and recommends providers for network expansion consideration to the regional director and network staff.
- Develop collaborative relationships with regional START leaders and the DDRO staff.
- Communicate information and maintains productive working relationships with individuals, their caregivers, the individuals of the Interdisciplinary Care team (IDT), all service providers and other external stakeholders.
- Monitor and ensure team productivity.
- Monitor budget expenses for CM teams under their jurisdiction.
- Monitor on-call schedules and ensures after hours on-call polices are available and adequate for regional responses when needed.
- Ensure training needs of care management teams are met.
- Maintain confidentiality of all individual records and protected health information.
- Flexibility of work schedule is required, with some evening and weekend hours as needed.
- Practice and promote CDNYs’ mission and values.
- Utilize a person-centered approach and support individuals to be as self-directed as possible.
- May be required to provide transportation for individuals based on their unique needs. (ie. Doctor’s appointments, planning meeting, etc.)
- Report abuse or neglect immediately when observed or reported.
Qualifications
- Bachelor’s Degree required. Master’s Degree preferred.
- A Minimum of 5 years related IDD work experience is required with a minimum of 2 years previous supervisory experience also required.
- Reliable transportation is required, and a valid driver's license may be required depending on location.
Care Design NY and Partnership Solutions provide equal employment opportunities to all. We celebrate the qualities that make each of us unique and greatly value how they enrich the work we do. As such, we welcome candidates of color, candidates who identify as gender diverse, neurodiverse candidates, and candidates of all ages with diverse lived experiences and perspectives to apply.
## Salary starting at
$80,000 / year
## Salary up to
$82,579.20 / year