Care Delivery Manager RN HealthCare Support is actively seeking a Care Delivery Manager RN to fill an opening in Brooklyn, NY. Daily Responsibilities for Care Delivery Manager RN: 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.
- 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 CLHC 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 CLHC 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.
- All other duties as assigned.
JOB PURPOSE: The RN Care Delivery Field Supervisor, under the direction of the Clinical / Center Service Director, oversees clinical services provided at the participant's home. This role is responsible for monitoring and supporting the nursing standards of excellence with advanced 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 the organization's objectives, goals, and mission. 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:
- Delegate responsibility appropriately and supervise assigned personnel in collaboration with the Care Delivery Manager (CDM) in a manner that will assure quality care and compliance with the care plan.
- Assess and evaluate the health care needs of participants with consideration regarding physical, mental, and environmental factors.
- Supervise, instruct, and guide the CHNS and HHAs in the delivery of quality home health care services in the community.
- Conduct joint visits with the Community Health Nurses (CHNs) to provide supervision and competencies.
- Supervise, instruct, and guide CHNs, Personal Care Aides, or Home Health Aides.
- Assist the Learning Center in designing the orientation for new employees.
- Acts as a resource for the CHN and team. Conduct field visits in lieu of CHNs as needed.
- Collaborate with all members of the IDT in developing a comprehensive care plan based on member-specific needs, physician orders, UAS-NY CAPS, other IDT assessments, members' specific parameters, and identified goals that are respectful of member, family, community, and agency resources.
- Complete, maintain, and submit all required documentation that is timely in accordance with CLHC standards and federal/state regulations.
- Assume responsibility for assignments as needed, will seek guidance from leadership appropriately, and is accountable for their actions by performing within their scope of practice.
- Conduct chart audits as assigned on a routine basis.
- Travel is required; may be required to cover neighboring sites.
- Participate in mandatory in-service education provided by CenterLight Healthcare.
- Provide education to participants and aides regarding medications, safety, and diet as indicated by the plan of care.
- Provide reports as requested by the Clinical/Center Site Director.
- Report pertinent changes while conducting participant/PCA or HHA Supervisory visits to Clinical/Site Director.
- Act as a core interdisciplinary team (IDT) member who assigned to a PACE member in compliance with CMS PACE regulatory requirement.
- Develop and maintain positive customer relationships ( customer is defined as co-workers, participants, visitors, vendors, and supervisors).
- Maintain up-to-date knowledge about current health-related issues, procedures, evidence-based clinical practices guidelines, medications, and impacting health and practice standards.
- Demonstrate reliable punctuality and attendance.
- 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.
- All other duties as assigned.
Schedule: 8:30am - 5pm (1 hour Break) Required Qualifications for Care Delivery Manager RN: 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. Benefits for Care Delivery Manager RN:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $50/hour - $58/hourInterested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional consideration, please email a copy of your resume to ...@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #GldRN824