Reimbursement Services Director - Home Care jobs in Peabody, MA

POSITION SUMMARY:

The Director of Home Care Programs is responsible for the day-to-day operations of the Home Care Program and provides administrative oversight of the Interdisciplinary Care Management Teams to ensure full compliance with all applicable State (Division of Medical Assistance and the Executive Office of Elder Affairs), Federal regulations, and Central Boston Elder Services Policies and Procedures. The Director of Home Care Programs directly supervises Home Care Supervisors and collaborates with the Sr. Director of Clinical Services, Director of Quality Assurance and Compliance, and other Managers and Directors. 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

1. Motivates, provides support, consults, and regularly schedules supervision of Care Managers and Supervisors.
2. Provide backup coverage as needed to the Care Manager Supervisors.
3. Participates in the development of internal quality assurance activities in collaboration with the Director of Quality Assurance and Compliance, the Director of Program and Professional Development, and the Sr. Director of Clinical Services. 
4. Works closely with the Supervisors, Managers, and the QA Department to identify performance measures and methods to improve overall performance; and ensure program compliance with all EOEA, state, and federal policies and regulations, timeliness of assessments, and meeting all quality and documentation requirements. 
5. Chiefly responsible for ensuring CBES’s compliance with EOEA HC designation, in collaboration with other Directors. In addition to ensuring that the implementation of a workflow that incorporates quality efforts. 
6. Assess, evaluate, measure, recommend, and implement quality assurance measures aligned with improving the overall delivery of services to consumers, which includes identifying employee training. Based on operational metrics. 
7. Ensures consistent and high-quality care for HC consumers.  
8. Conducts regular staff performance reviews, provides regular feedback, and creates corrective action plans as appropriate to ensure compliance with EOEA, state and federal policies and regulations, CBES policies and procedures, quality performance measures, and productivity standards.
9. Develop and implement operational policies and procedures to promote quality, efficient, cost-effective service delivery. 
10. Develop clear and concise processes to ensure compliance with all policies, procedures, quality standards, and regulations in collaboration with the Sr. Directors, Director of Program and Professional Development, other Managers, Supervisors, and the QA Department.
11. Interviews, hires, and participates in the orientation for new staff.
12. Identifies program staff training needs with the CHRO to enhance staff skills and improve performance.
13. Other duties and projects as assigned.

QUALIFICATIONS:

1. Bachelor’s Degree in either social work, human services, public administration, nursing, gerontology, and/or other appropriate fields, plus seven years’ experience in human services, at least five years of which have been spent in a supervisory/administrative position; or nursing experience in Home Care or Community Health. 
2. Master’s Degree in either social work, human services, public administration, nursing, gerontology, and/or other appropriate fields, plus five years experience in human services, and at least three years of which has been spent in a supervisory/administrative position. 

1. Demonstrated ability to utilize computer-based recordkeeping and reporting systems to collect and analyze data. SAMS experience preferred.

1. Proficiency with Microsoft Office Suite including Word, Excel, and PowerPoint.
2. Excellent verbal and written communication skills, strong presentation, and training skills.
3. Must have demonstrated leadership ability, and strong interpersonal and team-building skills for working within a diverse interdisciplinary team.
4. Ability to communicate with a positive attitude, to assist in motivating staff to maximum level of performance and involvement and in negotiating differences and resolving conflicts.
5. Ability to function well under pressure in a fast-paced human service environment.
6. Ability to be flexible, open, and responsive to ongoing industry changes.
7. Demonstrated ability to work with clients and coworkers in urban, multi-ethnic, and racially diverse environments. 
8. Ability to provide leadership in supporting and enhancing the diversity of CBES staff and clients.
9. Must be organized and detail-oriented, possess strong time management and priority-setting skills with the ability to handle diverse responsibilities and to work independently with minimal supervision. 
10. Can provide supervision on home care client assessment issues. 

PHYSICAL REQUIREMENTS OF THE JOB:

• Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.
• Ability to climb stairs.
• Ability to travel to the community to perform visits at consumers’ homes.

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