Job Summary:
The Assistant Director of social services assists the VP of Social Work and Community Health Services to assure that appropriate, high-quality clinical management is provided to all ESH members in accordance with relevant regulations. The Assistant Director provides direct managerial oversight and supervision to the social service staff in the MLTC Program, and oversees the Medicaid eligibility department, addresses and resolves unpaid Medicaid claims and Medicaid surplus payments issues, assuring that the eligibility department maintains Medicaid benefits for all eligible members and minimizes the time from identification of eligibility to receipt of benefits.
Essential Functions
- Oversees all clinical and concrete services aspects of the social services department.
- Supervises the Medicaid Eligibility Department.
- Serves as liaison with the Provider Relations Unit at HRA and LDSS to resolve Medicaid issues.
- Assures Medicaid applications, renewals, deferrals and conversions are completed on time.
- Responsible for establishing appropriate, New York State code compliant, personnel policies and procedures including those relating to hiring practices, health status examination, and periodic evaluation. Orientation and in-service education.
- Participates in hiring, retention, evaluating, disciplining and termination of staff.
- Ensures compliance, consistent with health rules of the New York State Department of Health.
- Performs clinical oversight of contracted agency social workers.
- Participates in developing standards which insure safe and therapeutically effective service to clients and families.
- Oversees the clinical supervision of staff to assure standards of care are met and/or assures that appropriate supervision is provided.
- Participates in the planning, development, implementation and evaluation of staff orientation and in-service Education programs.
- Represents Program at Professional Meetings.
- Provides direct supervision of clinical staff and eligibility specialists.
- Prepares for the participation in certification visits from Regulatory/Accrediting bodies.
- Represents Program to community.
- Reviews weekly claims report and report findings with the VP of Social Work & Community Health Services or designee
- Monitors clinical quality (productivity Data collection, assessment, care planning, documentation) and provide case consultation on complex cases (abuse/neglect, suicidality, housing and benefits crises).
- Perform any other job related duties as requested.
Education and Experience
- Master's of Social Work degree required
- Five (5) years experience as a Social worker required
- Three (3) years of management experience (e.g., CHHA, MLTCP or PACE Program) required
Competencies, Knowledge and Skills
- Knowledge of duties and ability to perform and supervise social workers and eligibility specialists.
- Knowledge of planning, organization, directing, coordinating and evaluating clinical aspects of social work and social services.
- Ability to multi-task.
- Demonstrates working knowledge of Medicaid, Medicare, including enrollment and recertification.
- Knowledge of Pooled Income trust (UCS & NYSARC).
- Knowledge of NASW code of Conducts
- Demonstrates knowledge of community-based resources, entitlement programs, and benefits systems such as SNAP, SSI/SSDI, housing subsidies and fuel assistance.
- Ability to provide clinical consultation and guidance on complex, high-risk cases involving behavioral health crises, abuse/neglect, homelessness, substance use disorders, or unsafe discharges.
- Ability to ensures timely, accurate, and clinically appropriate documentation in the electronic medical record.
- Ability to assist the VP in the development of policies, procedures, and workflows for the social services department.
- Assuring adherence to good personnel practices in regard to hiring, retention, evaluation, counseling, discipline and termination of personnel.
- Ability to set and achieve goals
- Ability to effectively communicate information with geriatric and chronically ill clients.
- Ability to interact in a positive and helpful manner with clients and participants.
- Ability to understand the needs of the geriatric and chronically ill clients.
Licensure and Certification
- Active, unrestricted Social Worker license in the State of New York required
Working Conditions
- General office environment; may be required to sit or stand for extended periods of time
- Travel is not typically required
Compensation Range:
$113,000.00 - $197,700.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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