This position is a management position in the organization that reports directly to the Sr. Director of Long-Term Services and Supports (LTSS). The Assistant Director is responsible for the oversight of the RN Care Management/MLTC program for Centers Care Solutions (CCS).
We are a medical management company that provides comprehensive, interdisciplinary care management services for chronically ill medically and behavioral unstable members, through a program of clinical support, care coordination and interventions and provision of benefits services. This program focus on members with the most needs that drive significant medical costs. Our programs are designed to provide the members and their family appropriate health care services that improve their quality of life in the least restrictive environment while reducing health care costs.
The Assistant Director actively collaborates and monitors RN Clinical Team Managers teams’ members’ quality of care and compliance with the governmental regulatory requirements, following organizational policies, processes and workflows.
This position will assess opportunities for improvement in member care management and coordination. This position includes managing relationships with care managers, clinical team managers and staff from other departments. It requires a strong background in clinical and management and a demonstrated proficiency in a quality business management. Demonstrates experience and proven track record of success in managed long term care program.
· Bachelor of Science in Nursing or advanced degree
· CCM certification or other advanced certifications in healthcare management
· Minimum 5 years RN Care Management experience with the geriatric population and /or minimum of 7 years clinical nursing experience in home health care or MLTC