ASSOCIATE CLINICAL DIRECTOR - NEW MARKETS
: Job Details :

JOB PURPOSE: Serves as the clinical lead for new market/ growth. Assumes initial responsibility for the management of internal providers. Collaborates with the medical director/ Chief Medical Officer on managing the relationships with the external relationships with all community-based providers that are not directly owned or managed by CenterLight HealthCare System (CHLS). Collaborates with CenterLight partners, community-based organization. Facilitates the implementation of the clinical model in all its aspects to maximize the quality delivery of services to CLHS members and reduce costs system-wide. Collaborate with the senior leadership on growth and generally all new market implementation activities.JOB RESPONSIBILITIES: Providers Management Support the recruitment and onboarding efforts of the new providers Help establish high-quality relationships with non-CenterLight providers throughout the market. This includes PCPs and specialty physicians, group practices, hospitals, and ancillary providers that deliver care to the CenterLight participants.Help manage providers performance in the specific market and ensure their alignment with the larger clinical strategy of CenterLightParticipate in cost containment activities, including curb excess utilization of medical resources and pharmacy trends with external providers and institutions.Quality and Clinical OperationsCollaborates with the interdisciplinary team on all care planning requirement and be the steward of process improvement and effective communication across teamsSupport case conference excellence by ensuring all PACE providers are prepared and receiving timely case notes and medical orders.Provide clinical input when necessary with internal or external stakeholdersWork with all external providers to ensure accurate, timely, and complete implementation of any initiatives pertinent to care planning or to improving the overall quality care of CLHS members.Conduct policies review as necessary and collaborate with the senior leadership on medical and clinical policies developmentEnsure Diagnostic and Testing Center is up to the highest standards from a regulatory perspective. Manage the resolution of practice-specific and network-wide policy issues as needed.Support other quality initiatives deemed necessary by the organizationDevelop standard work and standardized operating procedures SOPs for the diagnostic and testing center DTCClinical Model design and implementation Help implement a population health framework for managing the CenterLight populationHelp the providers focus on identifying the high-risk membership, engaging them, determining their needs and targeting them with the right interventions. Work with Care Delivery and the Quality Leadership to develop and track the effectiveness of plans to eliminate avoidable hospitalizations, and SNF admits.Participate in all clinical review activities, recommend and implement targeted clinical programs (palliative care, diabetes management, etc.)Develop workflows and SOPs as deemed necessary to facilitate the roll out of new clinical initiativesNew Market Implementation Develop and implement outreach activities to raise awareness about the PACE model and facilitate new referrals.Serve as the point clinician for home care agencies and primary care providers.Create a positive impression in the marketplace for CenterLight Health System.QUALIFICAITONS: Education: Board certification as an NPActive unrestricted medical license in the state of New York and new market state. A minimum of 3-5 years of clinical experience, preferably in a value based/ advanced primary care organization or a PACE programDemonstrate a good understanding of managed care tactics, quality management, HEDIS, peer review and utilization management UMInterest in building connections and relationships, skill in influencing, and consensus-building.Emotional intelligence, curiosity and having a growth mindsetAbility to communicate effectively with multiple constituencies.A good listenerSalary Range (Min-Max):$155,000 - $165,000SummaryLocation: CLHC Queens NY - Flushing (PACE Center)Type: Full time