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Director, PACE Program

Company: Neighborhood Healthcare
Location: Escondido
Posted on: August 5, 2022

Job Description:

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Description

Community health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 350k medical, dental, and behavioral health visits from more than 77k people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you

Overview

The PACE Program Director is responsible for all aspects of Neighborhood Healthcare's Program for All Inclusive Care for the Elderly (PACE). This includes the planning, organizing, development, operations and compliance of all PACE services. Responsible for the administrative, professional, clinical, financial and other programmatic aspects of the organization to ensure safe, effective and efficient programs that supports the respect and independence of PACE participants.

PERFORMANCE AREAS

* Influences and guides the vision of the organization.
* Keeps up to date on national and local trends impacting care delivery for older adults
* In conjunction with Executive leadership, develops and implements strategic business plans for the growth of Neighborhood Healthcare PACE
* Ensures the continued collaborative relationship between NHC, the parent organization, for the benefit of Neighborhood Healthcare PACE
* Participates in the decision-making process for the PACE facility

ADMINISTRATIVE OVERSIGHT FOR THE DEVELOPMENT AND IMPLEMENTATION

* Consistent with direction from the Compliance and Quality Team, coordinates the governance of Neighborhood Healthcare PACE to ensure that issues are brought to the attention of the Board appropriately and the Board is kept informed on the key performance aspects of the entity.
* Ensures that the legal records and documents are appropriately created and maintained.
* Serves as liaison with state and federal regulatory agencies to negotiate as needed and represent the interests of Neighborhood Healthcare PACE
* Ensures the accurate and timely management of the financial operations of Neighborhood Healthcare PACE.
* Ensures the development and management of data systems.

POLICY AND QUALITY PROGRAM FOR COMPLIANCE AND PERFORMANCE IMPROVEMENT

* Working closely with the Compliance Team, keeps current on the changes in regulation and policy impacting Neighborhood Healthcare PACE.
* Ensures that management staff and appropriate key personnel are aware of changes that impact operations and policy.
* With assistance from the Compliance Team, develops and approves policies that meet applicable regulatory agency requirements and ensures adherence to policies and regulations.

EFFECTIVENESS OF THE PACE TEAM

* Directs the day-to-day operations of the services and business operations of Neighborhood Healthcare PACE
* Directs the marketing and outreach activities of Neighborhood Healthcare PACE to meet enrollment goals within the limitations of regulatory guidelines.
* Ensures the development and implementation of effective personnel practices including hiring, training, competency assessment, performance appraisal and team building.
* Provides leadership in the development of creative and flexible solutions in the management of care.

FISCAL SOLVENCY

* Working closely with the NHC PACE finance team, ensures the timely and appropriate submission of rate proposals and financial reports to the California Department of Health Services and CMS
* Monitors and ensures monitoring of service and administrative costs for maximum value and operating results.
* Oversees the negotiation of network provider contracts with contracted community health and medical services entities.
* Develops and approves annual budgets and monitors results.

MANAGEMENT

* Ensures the appropriateness of provider network development.
* Ensures management team accountability for supervision of staff regarding staffing ratios, competency evaluation, and training.
* Ensures that all management staff are facilitating efforts to maximize performance and focus on continual performance improvement.

CUSTOMER RELATIONS

* Respond promptly and with caring actions to participants and employees. Acknowledge psychosocial, spiritual, and cultural beliefs and honor these beliefs.
* Maintain professional working relationships with all levels of staff, clients, and the public.
* Assume the key leadership role of the management team, both locally and organization-wide and cooperate in accomplishing department and organizational goals and objectives.

SAFETY

* Maintain current knowledge of policies and procedures as they relate to safe work practices.
* Follow all safety procedures and report unsafe conditions.
* Use appropriate body mechanics to ensure an injury free environment.
* Be familiar with location of nearest fire extinguisher and emergency exits.
* Follow all infection control procedures including blood-borne pathogen protocols.

HIPAA/COMPLIANCE

* Maintain privacy of all patient, employee, and sub-contractor information and access such information only on a need-to-know basis for business purposes.
* Comply with all regulations regarding corporate integrity and security obligations. Report all behaviors and/or activities that are unethical, fraudulent, or unlawful.

Requirements

EXPERIENCE

* Track record of progressively responsible leadership experience in health care with managed care and geriatric service delivery required.
* Prior direct care experience with seniors is preferred.
* Demonstrated leadership and management capabilities to facilitate effective and efficient operations and support effective relationships with external agencies and organizations to ensure success.
* Highly effective communicator in writing and presentation.

EDUCATION

Master's degree in health administration preferred but not required.

Keywords: Neighborhood Healthcare, Escondido , Director, PACE Program, Executive , Escondido, California

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