Director of HARP Case Management.
Marketing StatementMetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus' network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.Position OverviewThe HARP Clinical Director (HCD) manages the operational, regulatory, clinical, and oversight activities of the Health and Recovery Plan Line of Business. The HARP Clinical Director is responsible for high touch coordination between MetroPlus, Health Homes, and HCBS Providers. The HCD works with the Plan's Medical Director to ensure that members receive all medically necessary care, proper health home coordination services, timely review of POCs, and appropriate HCBS services.Job Description* Participate in the development and articulates the vision and strategic direction for Behavioral Health; collaboration on the implementation of strategies.* Responsible for oversight of the HARP Case Management and Health Homes.* Works closely with the clinical staff to ensure the provision of Behavioral Health Services, Health Home coordination, and needed HCBS services to members.* Works with the MetroPlus quality departments on quality improvement projects, Performance Improvement Plans, and relevant HEDIS and QARR activities.* Responsible for timely and accurate reporting to the MetroPlus BH Core Subcommittee.* Ensures that the clinical team complies with case management requirements ...