Director of managed care jobs in Rockville Centre, New YorkCreate job alerts

Job Description The Director of Operations for LHCSA will play a pivotal role in ensuring the efficient and effective delivery of home care services in Nassau County, specifically in Levittown. This position is responsible for overseeing daily operations, managing staff, and ensuring compliance with regulatory standards to provide high-quality care to clients. The Director will develop and implement operational strategies that enhance service delivery while optimizing resource allocation. Additionally, this role involves fostering a positive work environment that encourages professional development and teamwork among staff. Ultimately, the Director of Operations will contribute to the organization's mission of improving the quality of life for clients through compassionate and reliable home care services. Minimum Qualifications: • Bachelor's degree in healthcare administration, business management, or a related field., • At least 5 years of experience in healthcare operations, with a focus on home care services., • Master's degree in healthcare administration or a related field., • Experience in a leadership role within a home care or healthcare organization., • Oversee daily operations of the LHCSA, ensuring compliance with state and federal regulations., • Managed and supported a team of healthcare professionals, including hiring, training, and performance evaluations., • Develop and implement operational policies and procedures to enhance service delivery and efficiency., • Monitored financial performance and developed budgets to ensure the sustainability of operations., • Collaborate with other departments and stakeholders to improve client care and satisfaction., • Ensured compliance with payroll tax and wage deductions law and ACA Compliance, Wage Parity Act. The required skills for this role include strong leadership and management abilities, which are essential for guiding a diverse team and ensuring high-quality service delivery. Excellent communication skills are necessary for effectively interacting with staff, clients, and regulatory bodies. Problem-solving skills will be utilized daily to address operational challenges and improve processes. Financial acumen is crucial for budget management and resource allocation, ensuring the organization remains sustainable. Preferred skills, such as familiarity with EHR systems, will enhance the efficiency of operations and improve data management practices.

Job Description JOB SUMMARY Background: The Office of Mental Health (OMH) and the Department of Health (DOH) are co-defendants in the Stipulation and Order of Settlement, United States v State of New Your, Civil Action No. 13-0CV-4165 (NGG) O’Toole et al. v. Cuomo et al., Civil Action No. 13-CV-4166 (NGG). This settlement requires the state to assist residents of impacted adult homes identified as “class members” to move out of adult homes into supported apartments if they choose to and are eligible. They will have the assistance of a care manager to ensure any needed wrap-around services are in place after the move. An assessment determines the care planning that the care manager must implement as part of the preparation for transition out of the Adult Home. In collaboration with the Nursing Assessor and assigned Care Coordinators, the Social Work Assessor will work with other team members to streamline the assessment and placement into supported housing for identified residents of impacted Adult Homes. They will be responsible for making recommendations about the type of housing and the types of services—physical and behavioral health—as well as non-medical services like Meals on Wheels, etc. The Social Work Assessor will complete assessments for Queens Adult Home and SIBN Adult Home Supported Housing Programs. The Social Work Assessor will complete the housing application's psychiatric evaluation and psychosocial portion. The Nurse Assessor will have primary responsibility for assessing the residents' physical health needs, such as Managed Long-term Care services and certified Home Health Agency services. Each assessor will interface with the respective behavioral or physical health providers of the residents and review records necessary to make determinations about the types of services that will be needed to promote successful placement in supported apartments. ESSENTIAL JOB FUNCTIONS • Accompanies in-reach supervisor during in-reach to schedule assessments on-site at in-reach (3 days per week)., • If the assessor is not on-site for in-reach, the in-reach supervisor will email the consent form to the assessor on the same day as the in-reach meeting., • Upon receipt of consent, the assessor will obtain the psychiatric evaluation from a mental health provider., • Assessments to be scheduled promptly within the 30-day window to reduce delays from in-reach to assessment., • Assessor to be on-site at adult home at minimum four days per week to conduct assessments., • Upon completion of the assessment, the assessor will complete the assessment packet and send any required documentation to identified recipients (OMH, DOH, Housing, Care Coordination)., • Assessor to submit HRA application to HRA., • Once HRA approval is received, the assessor will send a packet to the housing program manager and health home., • For backlog assessments, the assessor will obtain the psychiatric evaluation from a mental health provider., • Assessor to approach class members with in-reach supervisor for introduction and to schedule an assessment., • Once the assessment is completed, the assessor must complete the assessment packet and submit the HRA application., • Once HRA approval is received, the assessor will send a packet to the housing program manager and health homes, • Responsible for making recommendations about the type of housing and the types of services (physical and behavioral health and non-medical services like Meals on Wheels, etc.), • Proposed Adult Home Housing Contract Amendment Language, • Provide clinical consultation to the team, conduct trainings, conduct clinical review, and chart review NYS license and current registration as a Licensed Clinical Social Worker. At least five years experience providing direct services to individuals with mental illness. Familiarity with the Medicaid and HRA housing application process is essential. #ICLRN

Job Description Client Care Coordinator Supervisor PRIMARY FUNCTION/PURPOSE: Supervise the delivery of services provided by Client Care Coordinators (Social Workers) to enhance existing services to homeless families. This includes the completion of a thorough assessment, and the development and completion of a bio-psychosocial for each family upon intake, crisis intervention, counseling, client advocacy, and referrals to government and/or community-based resources. If needed, this individual will ensure that recommendations of achievable goals be implemented on each family’s service plan, leading to permanent housing, and strengthening the overall permanency outcome for clients in shelter. MINIMUM QUALIFICATIONS: • Must be a Licensed Clinical Social Worker (LCSW) in the state of New York upon hire or within three (3) months of hire, • Minimum of 3-5 years of experience in social services, counseling, crisis intervention, family services, preventive services, housing services, or homeless services, • At least two years of supervisory experience in social services, counseling, crisis intervention, family services, preventive services, housing services, or homeless services, • Knowledge in three or more of the following areas:, • Experience in supervision of social workers, • Experience in client assessment, service plan development, and case management, • Child and adolescent development, • Parent-child relationships, family dynamics, and diagnostic classifications, • Mental health and Emotional/Behavior health, • Child Welfare policies and procedures, • Government Entitlements: TANF, Social Security, Medicare etc., • Knowledge and experience working with diverse cultures and ethnicities, • Expertise in strengths-based, solution-focused, and family-centered practice, • Experience facilitating groups for adults, • Proficiency in Spanish a plus, • Excellent oral and written communication skills coupled with strong interpersonal skills, • Proficient in MS Office, Outlook, Excel, PowerPoint, and Adobe PRIMARY RESPONSIBILITIES: • Manage and supervise a team of Client Care Coordinators to develop a team of skilled professional staff, including recruitment, training, supervision, evaluation, and staff scheduling to achieve the objectives of both CRF and Agency Funders, • Guide client care coordinators in the development, implementation, and achievement of program goals, • Handle administrative, operational, and programmatic issues that might affect client care coordinator staff, • Assign cases to client care coordinators for newly admitted clients to be assessed immediately upon admission and managed throughout shelter stay, • Ensure the timely completion of comprehensive bio psychosocial assessments for each client to understand strengths and service needs, • Work effectively as a part of a multi-disciplinary team to enhance client engagement and the delivery of quality service, • Enhance the delivery and coordination of mental health and related services to clients in shelter, • Ensure that Client Care Coordinator reports are clearly written and capture assessment findings and recommendations, • Confer and consult with professional and technical personnel in implementing a multidisciplinary approach to client care and well-being, • Ensure that Client Care Coordinators are providing short-term counseling, outreach services, crisis intervention, risk assessment, safety planning, and psycho-education for clients, • Collaborate with ACS and/or prevention services agencies, and participate in conferences to advocate on behalf of clients as needed, • Ensure that Client Care Coordinators are providing clients with appropriate referrals and linkages between mental health providers, government agencies, and other related community-based services as needed, • Serve as agency/program liaison between DHS, government agencies, community-based organizations and/or groups, • Develop and Implement group work to be facilitated by Client Care Coordinators to address family issues, enhance life skills etc., • Ensure that Client Care Coordinators are completing all documentation in a timely manner, • Ensure that Client Care Coordinators assess each client/family for supportive housing, complete supportive housing applications when applicable, and accompany residents to supportive housing interviews when needed, • Ensure that Client Care Coordinators complete and discuss exit summaries with each client, and provide clients/families with referrals and supportive services identified in their new community, • Participate in family meetings with case work and housing teams to discuss planning efforts and progress, • Networking and establishing successful linkages with government and community-based organizations to create resources for both families and staff, • Work in collaboration with the Director of Social Services and the Housing Coordinator to ensure that all services lead to permanent housing placement, • Complete special projects and assignments as needed or identified by leadership, • Must work one late a week from 11 am -7 pm to accommodate both staff and families, • Provide on-call crisis intervention support to Client Care Coordinators, • Perform other duties as assigned CLIENT CHARTS / STAFF COMPLIANCE: • Manages, reviews, and monitors Client Care Coordinators’ maintenance of client records (paper and electronic) by conducting case audits, ensuring both internal and external quality assurance standards are being met in accordance with CRF and DHS standards, • Provides training to new staff and existing Client Care Coordinator staff, • Provide individual and group supervision to Care Coordinators to provide coaching, guidance, and support on service delivery and work performance, • Ensure that high-risk cases are monitored closely and serviced effectively, • Provide Client Care Coordination team with support and guidance on high-risk and challenging cases, • Collects and analyzes data provided on client services to evaluate team success in service delivery, • Provides Client Care Coordination services in the absence or vacancy of Client Care Coordinator staff MEASURABLE AREAS: • Ability to team lead and provide effective supervision, guidance, and oversight of subordinates, • Timely reporting of critical/priority one incidents to DHS, • Ability to respond and troubleshoot crisis situations, • Comply with and promote compliance with all agency policies, helping to strengthen and maintain an ethical organizational culture Completion of DHS Monthly Metrics. • Number of biopsychosocials completed, • Number of mental health referrals, • Number of successful referrals (3 MH referrals kept), • Number of substance use referrals, • Number of successful referrals (3 SU referrals kept), • Number of other referrals, • Number of successful other referrals, • Number of linkage agreements finalized, • Number of training sessions conducted, • Number of client groups/workshops facilitated, • Timely completion and submission of CCC Unit DHS Monthly Metrics Report SECONDARY RESPONSIBILITIES: • Facilitate effective communication with other staff within an interdisciplinary context, participate in and contribute to staff meetings and the development of policies and procedures, • Participate in trainings and staff-development activities to acquire and maintain both the interpersonal and operational skills necessary for successful job performance, • Provide professional development to Client Care Coordinators to enhance skill-sets as it relates to appropriately assessing the needs of clients in shelter, • Work in collaboration with site leadership to provide training and consultation to shelter-based case management team, and to increase the ability of shelter staff to address mental health issues, • Ensure that staff attend CORE trainings within (6) months of employment, such as the mandated Reporter Training, CARES Getting Started, CARES Incident Reporting, CARES Intimate Partner Violence 101, Bio-Psychosocial & Engagement 101, Bio-Psychosocial & Engagement 102, Risk & Safety Assessment, Motivational Interviewing, and CPR/First Aid PRINCIPAL RELATIONSHIPS: • Frequent interaction with diverse clients to assess and respond to their needs, • Collaborative working relationships with and volunteers who aid in the facility, • Regular contact with other program and Social Services staff to ensure team delivery of consistent high-quality services OTHER REQUIREMENTS (including Physical Demands): • May be required to work long hours and a varied schedule, • Traveling throughout various locations in the New York City area when necessary, • Lifting and moving objects weighing up to 30 pounds several times a week, • Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions EEO Statement – Children’s Rescue Fund is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status. #IND1

Job Description Job Summary This management position exists in several Program Divisions. Under the general supervision of the Divisional Vice is responsible for the oversight of the administrative and clinical aspects of the program. Responsible for personnel management, fiscal operations, inventory management, client services, safety and welfare of staff and clients, hiring and training of personnel, directing and coordinating the activities of the staff, and general administration of the program. Establishes clinical procedures and policies for clients and ensures that program operations meet or exceed agency and regulatory guidelines. Essential Task To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions unless this causes undue hardship to the agency. Provides Clinical Services: • Directs clinical treatment services provided to consumers, oversees the development, implementation, and review of treatment plans to address issues of mental illness and substance abuse., • Provides clinical oversight of symptom assessment and rehabilitative services provided by the staff to consumers/residents to ensure the quality and that services meet or exceed regulatory guidelines. Monitors counseling performed by staff either individually with a consumer/resident or in groups to evaluate the quality of the service., • Ensures staff is obtaining information, such as medical, psychological, and social factors contributing to the individual's situation, and that the staff is evaluating the consumer's/resident's capabilities. Regularly directs the inspection of case records to evaluate the completeness and quality of treatment plans, quarterly service plans reviews, assessments, medical records, and progress notes. Responsible for the accuracy of data entered into a computer database or manual records., • Informs staff to the types of clinical services, recreational activities, and ICL programs available., • Reviews crisis assessment of consumers/residents with staff, reviews nonverbal and verbal crisis intervention techniques to be used with each individual consumer/resident, and staff-actions during a crisis situation., • Informs staff of community resources and ensures that staff are accompanying consumers on regularly scheduled or emergency visits to medical treatment facilities, social agencies, government offices, or other locations associated with treatment or assistance of the consumer/resident., • Immediately reports serious incidents, allegations of abuse, incidents, or sensitive situations and completes incident reports in accordance with agency policy., • Establishes and maintains work schedules in accordance with agency policy and assignments of staff. Responsible for managing the completion of time clock edits of staff within the suspense established by the Human Resources Department., • Ensures staff compliance with the agency's time and attendance policy; recommends disciplinary action for those out of compliance., • Manages the completion of performance evaluations, recommends staff for the employee recognition award and promotions., • Conducts staff supervision in accordance with agency and division policy., • Administers disciplinary actions in accordance with agency disciplinary policy, conducts disciplinary counseling, completes disciplinary action reports, and recommends employee terminations as needed., • Reviews authorized staff positions and personnel budget, submits Request for Personnel (RFP), on vacant staff position(s), interviews candidates for employment in accordance with agency policy and employment law. Recommends changes to authorized staffing patterns and personnel budget., • Ensures that staff have attended required in-service training and schedules employees to attend both in-service training and training provided by vendors. Conducts training on clinical subjects, charting, fire safety plan, fire drills, emergency plans and procedures, building security, volunteers and interns, and site-specific exposure control plan., • Manages employee accident reporting and initial submission of workers' compensation claims., • Monitors employee morale and the climate of the work environment to stop or eliminate sexual harassment or any form of employee harassment or employee discrimination. Responsible for taking complaints of sexual harassment, informing the Human Resources Department of the complaint, and investigating the complaint (as directed)., • Monitors employee accrual totals, approves or recommends approval of employee requests for time off, and notifies the Department of Human Resources when an employee should be placed on or taken off Family and Medical Leave (FMLA). Maintains contact with staff while out on FMLA., • Provides oversight in the area of administrative recordkeeping, maintenance of office equipment, reception of visitors, phone reception, and stocking office supplies., • Manages the orientation of new personnel and the sponsorship program., • Maintains accountability and serviceability of all ICL property assigned to the program to include vehicles. Reports lost stolen, missing, or damaged property in accordance with ICL policy. Conducts initial investigations of property that is lost, stolen, missing, or damaged., • Authorizes the purchase of supplies and equipment; properly secures all property and equipment. Conducts regular inspections of vehicles and property to ensure cleanliness, accountability, and serviceability., • Conducts regular inspections of consumer/resident rooms or apartments to ensure property accountability and serviceability. Establishes key control procedures., • Ensures internal program compliance with federal, state, city, and agency regulatory requirements. Monitors the quality of the rehabilitative services provided to consumers/residents., • Responsible for the development of a program mission statement and program goals that supports the division and agency mission statements and goals., • Coordinates with the Department of Quality Management and the departments in the Administrative Division for staff assistance in the preparation for an audit., • Reviews plans of corrective action, incident reports, and program evaluation reports and addresses areas that need improvement., • Exercises control over budgets through planning, prioritizing of spending, and monitoring of spending patterns., • Approves/disapproves all purchase orders and financial requests from staff and submits approved purchase orders and financial requests to supervisor for approval., • Manages resident/consumer funds program. Develops internal money management procedures., • Educates staff in the benefits of consumer and family involvement, levels of consumer and family involvement, types of consumer and family involvement, nature of consumer and family involvement, and issues of working with consumers and families., • Develops a program strategy for working with consumers and families and develops activities that foster program-consumer and family cooperation and coordination., • Promotes Mental Health and Managed Care programs in local communities; maintains liaison between local elected officials and community boards, educates citizens in the community on mental illness., • Educates staff and residents/consumers on the importance of a constructive relationship with local elected officials, community boards, and community citizens. ADDITIONAL TASKS: • May conduct regular inspections of apartments and contacts landlords to report repairs that need to be made in accordance with rental agreements., • May be responsible for facility maintenance and reports needed repairs to the Director of Real Property Operations., • May review drafts, procedures, and job descriptions., • May be involved in hosting visitors from community, regulatory offices, and/or other agencies., • May be chairperson or member of an agency or division committee(s)., • Ability to lead a multi-disciplinary staff of professionals and paraprofessionals in providing treatment services., • Ability to manage multiple projects, delegate tasks, and check on the completion of assigned tasks., • Ability to manage resources, which includes money, material, time, and people., • Serves as a role model to staff and consumers/residents., • Strong interpersonal skills, emotional intelligence, and flexibility, • Highly-developed clinical, engagement, and motivational skills;, • Experience with risk assessment and risk management;, • Track record of delivering quality treatment services to individuals with SMI, • Experience delivering treatment, rehabilitation and support services in the community;, • Proficient in computers and Electronic Health Record (EHR), • Ability to effectively hold field staff accountable and to spend a significant portion of the workweek traveling Qualification and Experience Master’s degree in social work, Mental Health, or Psychology, with a minimum of three years of professional mental health experience and in a supervisory capacity. Required LMSW for MSW, MHC required LMHC, or LPC. Preferred Bi-lingual in Spanish but not required. #ICLRN

Job DescriptionDescription: Location: Mineola, NY About Us: Hanover Bank– When you love your work and the people you work with, careers are made! Embracing diversity, valuing inclusion and showing respect are the foundation upon which we build our team. At Hanover Bank, inclusion means respecting personal beliefs and appreciating that we all have perspectives that matter. We are stronger together as we move toward a shared vision of personal and corporate growth. Whether you are just starting out or a seasoned professional, working for Hanover Bank can launch you on a path to success. With a passion for excellence, we strive to deliver exceptional service to our clients, foster a positive impact in the communities in which we work and live and help our team members achieve their professional goals. When you work with us you are empowered, engaged and encouraged to collaborate because every voice matters, every person counts! Job Summary Hanover Bank is looking for a full-time Application and Governance Support Specialist to join our team. The Application and Governance Support Specialist is responsible for maintaining a strong and compliant IT control environment while supporting the Bank’s data reporting and application performance needs. This role ensures adherence to FFIEC Guidelines, DFS Part 500, and COBIT framework standards, while also developing and delivering business analytics reports and data feeds across departments. The position partners closely with the Information Technology and Operational teams to implement and support core and ancillary banking solutions, manage vendor relationships, and resolve technical issues. In addition, the role collaborates with business units to assess reporting, data visualization, and compliance requirements, ensuring technology solutions align with both operational and regulatory objectives. Essential Job Duties and Responsibilities IT Governance and Compliance: • Assist the Director of IT Governance in maintaining and monitoring the bank’s IT control environment to ensure compliance with FFIEC Guidelines, DFS Part 500, Sarbanes-Oxley (SOX), and COBIT framework standards., • Support the Director of IT Governance in developing, documenting, and maintaining IT process controls and procedures that promote regulatory compliance and operational efficiency., • Perform SOX key control testing and assist with periodic self-audits of internal systems to verify control effectiveness and identify areas for improvement., • Implements and maintains review procedures for IT system additions, deletions, and changes to uphold control integrity., • Conduct periodic reviews of core system security and assist with corrective action plans to ensure compliance with security policies and regulatory requirements., • Partner with Infrastructure, Application Support, Hardware Support, and Information Security teams to validate control adequacy, documentation standards, and adherence to IT Governance procedures., • Support the Director of IT Governance in ensuring compliance with vendor oversight requirements for all IT-managed third-party relationships and assist in vendor reviews and audits., • Acts as a key point of contact for internal and external auditors, maintaining organized documentation, tracking audit requests, and coordinating responses., • Contribute to IT strategic planning efforts by providing input on control improvements, risk mitigation strategies, and technology optimization opportunities., • Administer and schedule business analytics reports and automated data feeds tailored to departmental and executive management needs., • Run H360 audit reports, including core user security reports., • Ensure the timely generation, accuracy, and secure delivery of reports and dashboards., • Partner with Bank Operations and IT teams to implement, test, and integrate new or upgraded banking solutions, ensuring compatibility and minimal operational disruption., • Evaluate new systems and technologies for alignment with existing infrastructure, identifying risks and opportunities for improvement., • Assist with user provisioning for ImageCentre and H360, • Perform mass maintenance updates through our core system, • Collaborate with Information Technology, Bank Operations, and any third-party vendors to identify and resolve technical or system-related issues efficiently., • Serve as a liaison between business areas and IT to ensure smooth communication, quick issue resolution, and alignment between operational needs and technical capabilities., • Partner with business areas to identify opportunities for process improvement, automation, and enhanced reporting efficiency. Education and Experience • Bachelor’s degree in Information Technology, Computer Science, Business, or a related field preferred, but not required, • Technical training or equivalent work experience in IT, reporting, or compliance will also be considered, • Preferred certifications: ITIL Foundation, CompTIA certifications, or basic Microsoft training (Power BI, Excel, or Azure Fundamentals), • 2–4 years of experience in IT support, reporting, or data operations, ideally within a banking or financial environment, • Familiarity with core banking or enterprise systems (such as FIS, Fiserv, or Jack Henry), • Experience scheduling automated reports or maintaining system automation scripts, • Exposure to user access management, audit support, or IT governance activities, • Comfortable gathering documentation for internal or external audits, • Strong attention to detail and ability to manage recurring daily tasks such as data load checks or system monitoring, • Solid communication skills and ability to work across IT and business departments, • Working knowledge of IT governance and regulatory frameworks such as COBIT, ITIL, SOX, FFIEC, and DFS Part 500, • Experience supporting core banking systems (e.g., FIS, H360, ImageCentre) and assisting with user access administration, • Knowledge of audit processes, vendor management, and regulatory documentation for internal and external reviews, • Skilled in data analysis and reporting using tools such as Power BI, SQL, and Excel to deliver clear and meaningful insights, • Skilled in application support, change control, and system integration across banking and IT environments Skills and Abilities • Strong problem-solving, analytical, and communication abilities; able to collaborate effectively with IT, Audit, and Operations teams, • Highly detail-oriented and organized, with a focus on maintaining data integrity, compliance, and process efficiency Our Benefits: Health & Wellness Benefits · Medical, Dental, and Vision insurance (with HSA, FSA, and Commuter Benefits options) · Company-paid Life Insurance and Accidental Death & Dismemberment (AD&D) · Company-paid Long-Term Disability Insurance Voluntary Benefits · Additional Life and AD&D Insurance for employee, spouse, and dependents · Voluntary Short-Term Disability Insurance · Pet Insurance · Legal Services Plan · Accident Insurance · Hospital Indemnity Insurance · Cancer Care Insurance Retirement · 401(k) Plan with Company Match Time Off & Recognition · Paid Personal Time Off (PTO) · Paid Company Holidays · Annual Performance Bonuses · Annual Salary Increases Employee Engagement · Company-sponsored Events · Employee Contests and Recognition Programs Salary: $75,000.00 - $90,000.00; placement within this range will vary based on experience and skill level. Hanover Bank is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Requirements: