Senior Vice President of Care Management Job Details Level Senior Job Location Liverpool - Liverpool, NY Position Type Full Time Education Level 4 Year Degree Salary Range $132,000.00 - $135,000.00 Salary Description Job Summary: The Senior Vice President of Care Management has authority over and is accountable for the overall administration and delivery of Care Management services across all LIFEPlan regions, in accordance with LIFEPlan’s policies and regulations. The SVP of CM is an organizational champion for coordinated care for all members and will have overall responsibility for creating strategic care management plans, as well as operationalizing, leading and monitoring those plans. The SVP of CM will contribute to LIFEPlan’s transition from a care management model to the managed care model. The SVP of CM capitalizes on strong external working relationships in order to coordinate with providers, families, parents, managed care entities throughout the regions, and is responsible for directly supervising all Regional CM VPs. The SVP of CM will create strategic plans and alliances with CM support departments including Program Development and Operations, Family Liaison’s, Finance, Compliance, Quality, Human Resources and Information Technology departments to ensure that LIFEPlan’s services meet the needs and (ideally), exceed the expectations of members, families and advocates. The SVP of CM is responsible for quality outcomes for the people LIFEPlan supports and contributes to LIFEPlan’s financial health and success by leading the CM team and RVPs to ensure high quality, effective, and fiscally viable, services. The smooth transition of services/lives and employees to LIFEPlan is essential. Maintaining existing members, as well as the growth and expansion of services is expected for success. Essential Duties and Responsibilities: + Directs the administration of Care Management programs. + Produces strategic plans using metrics and reports, works with CM team, and other departments to operationalize and ensure positive outcomes. + Oversees management of new funding opportunities for all regions. + Serves as a member of the LIFEPlan Executive team, and is required to attend, and present at LIFEPlan Board meetings, and at other internal or external events as required. + Works with the CEO, Program Development and the VP of Networks and Operations to develop Care Management programs that convey emerging needs, create opportunities and advocate for the development of other supports and services. + Directs the development of relationships and from time to time provides outreach to the community (schools, outside agencies) linking with Family Liaisons, Care Managers and Supervisors and Care Management leadership to market services to the community ensuring that people are connected to LIFEPlan and their needs are met through the care management model. + Serves as an overall liaison between LIFEPlan and interfacing funding sources, ensuring that individual needs are managed, prioritized and funded. + Meets with individuals, families and representatives to ensure quality services and to resolve any potential concerns; collaborates with Family Liaison team + Attends and participates in various conferences and statewide task forces for the purpose of strengthening LIFEPlan’s reputation as a Care Management Leader and ensures that we are in the forefront of service delivery. Oversight of Care Management staff: + Works with HR and Finance to create a CM staffing plan to ensure staffing levels are planned and maintained to provide quality services based on lives at appropriate caseload levels and to maximize growth. + Collaborates with the Program Development and Human Resources team to ensure that all care management staff have the skills, training and knowledge required for success. Works to ensure compliance with HR, Program, Compliance and Quality. + Ensures that Care Managers are appropriately supervised and managed in conjunction with HR: training, performance management, career development, employee recognition, engagement and retention. + Leads the process of attaining higher Care Management division productivity by analyzing organizational structure and systems, identifying resources required and communicating with RVPs on the supporting strategies and needs involving care management strategies. Ensures smooth and effect operations: + Develops and implements the CM operating budget and monitors expenses on a monthly basis. + Ensures that all programs and staff comply with all appropriate regulations and standards as a minimum requirement; works with Program Development, Human Resources, Quality and Compliance to plan for and implement required changes. + Works with IT, and the Program Operations team to develop outcome measures as well as the most efficient means to gather and distribute data to measure performance. + Oversees on-call services for each region. + Ensures that documentation is complete, timely, and complies with regulatory and LIFEPlan policies and standards. + Conducts bi-weekly staff meetings to review policies, share resources, conduct trainings, network and focus on overall quality improvement. + Administers Quality and Incident Reporting policies, procedures and issues. Provides leadership to CM staff regarding processes and challenges. Makes recommendations for change and provides action strategies and plans to Quality and Operations and the Leadership team. Assesses in conjunction with Operations, Quality and Compliance Reviews, and other LIFEPlan leaders the overall satisfaction f members. + Regularly monitors Medisked, BPI and QA data to analyze performance, services, and opportunities; plans for and implements changes to optimize services and expand the reach of LIFEPlan. + Must reside in New York State, or a contiguous state and the residence must be withing 100 miles to the assigned office Hub. + Proof of a valid driver’s license for standard personal vehicles will be required at the time of hire. + Proof of valid auto insurance for standard personal vehicles will be required at the time of hire. + Must possess a valid Driver’s License from New York, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont)ORmust have the ability to take ample public transportation to attend meetings in person in the community and in the office as needed Key Duties & Responsibilities for all Leadership/Management Positions: + Ensures compliance with all pertinent government regulations, and LIFEPlan CCO’s policies, procedures, and operating standards. + Implements a continuous quality improvement process for department services and administrative functions. + Assists in the development, implementation and administration of Human Resources policies and programs including compliance with Equal Employment Opportunities and Affirmative Action Programs. + All LIFEPlan CCO NY employees are expected to exhibit the following: + Confidentiality:Comply fully with LIFEPlan CCO’s confidentiality policies by holding in strictest confidence all information pertaining to members, residents, the people we support and their families, clients, providers, contractors, and employees. + Safety: Meet all safety training requirements; adhere to all safety policies and reports any and all unsafe conditions. Take measures to prevent accidents and/or eliminate conditions that pose a safety or health risk. + Training: Meet all job requirements for participating in or delivering training. + Compliance:Adhere to LIFEPlan CCO’s standard of ethical behavior as outlined in the Corporate Compliance plan, the Code of Ethics, Standards of Conduct as well as associated policies, procedures, guidelines and all applicable laws and regulations. Qualifications Education and Experience: + Bachelor’s degree is required. Health Care Management, Human Services or relatedfieldis preferred. + Graduate degree (Masters, Doctorate) preferred + Specialized training, license, certification, skills in: Laws, services, regulations, restrictions and entitlements that affect persons with disabilities. + At least 10 year of job-related experience, specifically in providing case management or related services, OPWDD, ideally DOH as well. + 7+ years’ experience managing programs and employees, ideally with 2 of those years supervising Supervisors.