Director of Care Management-NYC

Provide overall leadership and management for care management services for adults and children, ensuring services are aligned with NYS Health Home and other relevant state program standards.

Develop and implement operational policies and procedures to ensure regulatory compliance and high-quality care.

Supervise, mentor, and evaluate care management supervisors and staff, fostering a culture of continuous improvement and professional development.

Oversee enrollment, assessment, care planning, service coordination, and discharge processes for members, ensuring all are completed per NYS requirements.

Ensure timely and accurate documentation in accordance with state and federal regulations.

Serve as a liaison with state agencies, community organizations, and healthcare providers to promote integrated care and address service gaps.

Maintain up‑to‑date knowledge of NYS regulations, Health Home standards, and best practices for care management.

Ensure all staff complete required NYS Health Home and care management training.

Assist in audits, surveys, and reporting as required by NYS and other regulatory bodies.

Fiscal and Resource Management

• Assist with managing program budgets, ensuring efficient use of resources and staying within financial constraints.
• Monitor and manage performance metrics, including service delivery targets, utilization, and outcomes.
• Ensure appropriate documentation and billing practices are in place for reimbursement through Medicaid, Medicaid Managed Care, and / or other applicable systems.

Relationship with Others

Qualifications

Education and Experience

Skills and Competencies

Organizational Structure

This is a hybrid position with travel between our Brooklyn and Queens offices. Occasional travel to our Suffolk and Nassau County offices for meetings, training and program coverage. This position requires flexible hours to meet program and regulatory needs.

Qualifications

Education

Required

Licenses & Certifications

Required

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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