Job at a glance
Overview Directs, plans, and implements administrative and clinical responsibilities for BHS programs. Develops creative and clinical solutions by effectively using operational and clinical information from internal and external sources, including technology and research to support strategies for implementation of evidence based care, performance improvement and financial viability. Gains sustaining commitment from stakeholders when implementing program and/or agency changes.
Works under general direction. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Provides clinical and administrative oversight, including evaluating utilization and management of staff and quality of patient care.
Provides administrative and clinical direction to program management and staff, including on-site visits, case conferences, staff meetings, incident reviews etc. Ensures adherence of teams to all financial, billing and documentation policies and procedures. Refines models of care for programs, utilizing evidence-based and best practices. Utilizes clinical data and program reports to regularly review program interventions and outcomes.
Leverages data to inform changes in operations, interventions and program workflows. Assesses current systems; develops new/revised systems to ensure efficiency of clinical operations. Performs internal clinical and financial billing reviews/audits to ensure clinical fidelity and compliance with policies and procedures; takes corrective action, as necessary to address deficiencies. Ensures readiness for program reviews as well as licensing recertification and site visits (if applicable to program); oversees preparation of and adherence to corrective action / performance improvement plans.
Directs and/or participates in ad hoc management work groups which address operational or clinical issues that affect individual programs or cross programs. Acts as liaison to funders and city agencies (e.g. OMH, DOHMH) and payors for BH programs. Attends funder/payor related program meetings as program representative along with key program leadership. Provides leadership in the implementation of evidenced based models of care, quality initiatives and business processes.
Reviews program performance, monitors progress toward clinical operations objectives and identifies risks and issues to ensure effective and efficient clinical operations. Participates in Quality Assurance meetings, collaborates with BH Quality and Operations teams on project and initiates and addresses any issues. Works in collaboration with CMH Quality leadership and VNS Health Compliance department related to QA indicators and outcomes.
Formulates, develops, updates and interprets policies and procedures for assigned programs. Ensures that clinical care to patients is provided in compliance with the regulatory requirements and VNS Health standards and procedures. Develops and monitors policies and procedures as appropriate. Makes recommendations for revisions, as needed. Participates in the development of BH EMR systems for assigned programs.
Facilitates trainings and reviews of EMR system and ensures program reporting to funders is accurate and timely for all teams. Reviews reports and addresses issues appropriately to ensure compliance and timeliness. Develops, directs and facilities training prog