Associate Director, Clinical Services - REMOTE

Employer
University of Massachusetts Medical School
Location
333 South St

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Administrative Jobs
Student Affairs, Counseling
Employment Type
Full Time
Institution Type
Four-Year Institution

Job Details

Overview

POSITION SUMMARY:

Under the direction of the Director, the Associate Director manages and oversees the daily functioning of all direct reports supporting assigned contracted clinical work. This position is also responsible for ensuring compliance with all applicable state and federal laws and regulations and necessary procedures governing the assigned contract(s) work requirements. 

Responsibilities

ESSENTIAL FUNCTIONS:

  • Provide supervision and daily guidance to staff ensuring that the service provided meets or exceeds clinical and procedural standards as outlined in the assigned contract(s).
  • Foster team environment and provide professional and clinical leadership to clinical and administrative program staff, as appropriate.
  • Direct and assist clinical staff in identifying and addressing issues involving team process, clinical workflow, practices and function, as well as monitoring staff scheduling and workload coverage.
  • Monitor the process and outcomes of clinical staff to ensure adherence to appropriate state and federal regulations, as well as all program policies and procedures.
  • Provide clinical guidance to staff related to all clinical contract requirements which are specific to the contract or work assigned (i.e., clinical evaluations, prior authorizations and clinical eligibility determinations).
  • Review, revise, implement and communicate policy, workflow, and organizational changes to clinical staff.
  • Prepare and present reports per contractual requirements and as requested.
  • Oversee the review process, assignment of cases, and outcomes of evaluations.
  • Work closely with Program Management and Clinical Staff to ensure that clinical integrity is maintained in the assigned program. Coordinate and lead assigned multidisciplinary team meeting including case review as needed.
  • Conduct onboarding activities and performance evaluations of all assigned staff.
  • Interface with Human Resources Department on personnel related issues as needed, including recruitment, hiring and termination of staff.
  • Maintain the confidentiality of all business documents and correspondence.
  • Identify necessary resources to perform program work, monitors work progress including, data analysis and report development, and oversees its timely completion.
  • Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations, including conducting regular quality reviews of clinical services authorized and competency assessments for clinical staff.
  • Support team members in providing clinical information and case details related to the appeal and/or grievance process.
  • Comply with established departmental policies, procedures and objectives.
  • Comply with all health and safety regulations and requirements.
  • Assist the Director in preparing annual goals and objectives for the program.
  • Act as Liaison between client agencies and assigned programs on clinical and case-related issues.
  • Act as Liaison between client agency operational units regarding issues impacting contract performance including member/participant matters.
  • Work closely with the Program Director to explore new business initiatives for CWM.
  • Other duties as needed in support of the department and the organization.
Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor’s Degree and licensure in appropriate healthcare field,
  • At least 7years’ disability related experience or equivalent such as in community-based mental health services and/or long-term care services
  • 2 years recent management/supervisory experience
  • Ability to work in and foster a team environment
  • Excellent written and oral communication skills
  • Able to travel to off- site locations
Additional Information

PREFERRED QUALIFICATIONS:

  • Registered Nurse with bachelor’s degree in Nursing; Master’s Degree in Social Worker; and/or bachelor’s level Certified Rehabilitation Counselor
  • Knowledge of Mass Health regulations
  • Knowledge of applicable regulations required for the position and specific program(s) the position supports
  • Strong analytical and problem-solving skills
  • Proficient in Microsoft Office programs including Word and Excel
  • #LI-LG1

Organization

Realize Your Opportunities – A Career at UMASS Medical School

Inside Workings at UMASS Medical School

The University of Massachusetts Medical School (UMMS), the Commonwealth's only public medical school, is proud of our role in serving the people of Massachusetts. Although, its the inside workings of UMMS that makes the difference.

Mission and Culture

  • We’re serious about our mission and about our people. 
  • Real World Impact - Our people get excited about our mission of real-world impact in health sciences education, research and public service.
  • International Prominence and New Opportunities - As this institution has grown to national – and international – prominence, we’ve found new opportunities to train tomorrow’s physicians, nurses and scientists,  discover causes of and cures for disease and help improve the quality of health care.
  • Deep Commitment - With our clinical partner, UMass Memorial Health Care, and our other teaching affiliates, we share a deep commitment to national distinction in patient care.
  • Valued Partnerships – UMMS partners with Commonwealth Medicine, the health care consulting arm of UMMS. Also, UMMS partners with MassBiologics in scientific collaborations, technology management and creating partnerships for the development of products for the benefit of patients.  These valued partnerships help us to provide services and programs to help meet our needs at UMMS and the public.
  • Proud Contributors - People at UMMS enjoy the feeling of going to work every day knowing what they do is truly important and worthwhile.
  • Complementary and Inseparable - These varied parts of our mission and culture are complementary and inseparable.                 

Careers

UMMS, the state’s first and only public academic health sciences center, educates physicians, scientists and advanced practice nurses to heal, discover, teach and care, with compassion.  UMMS is a world-class institution with opportunities to match. 

Competitive Compensation – UMMS offers salaries that are competitive with Worcester-area employers. When combined with our generous benefits, perks, and paid time off, many job seekers are surprised to find a total rewards package that matches or exceeds their current situation.

Targeted Hiring Process – At UMMS, there are actually multiple hiring processes for different segments of our workforce.  In nearly all cases, UMMS hiring process is decentralized, with qualified candidates screened and referred to an academic officer or manager with hiring authority.

24/7 Access to Employment Opportunities – iCIMS is our online job search and application system.  iCIMS is available 24/7 to provide you with a convenient and up-to-date view of the available employment opportunities across our campuses. Updates are made daily and include all faculty and non-faculty position listings from every school and department within the UMMS. When you identify a position you are interested in and qualified for, apply online. New opportunities become available frequently so it pays to check back often!

Benefits

With outstanding benefits, competitive pay, extensive learning opportunities, and a stimulating and attractive work environment, UMMS may be exactly the employer you’ve been looking for.

• Superior Benefits - UMMS offers a wide range of benefits and perks that invite comparison with the best employers in the Worcester area – and with academic institutions anywhere. UMMS provides superior medical and dental coverage for you and your family, fully funded retirement plans, generous time off, a Tuition Assistance Plan – and much more.

• People Centered - UMMS is an employer, but it is also a community. Its comprehensive medical and dental benefits, retirement plans, and even paid holidays reflect an institution built around people, with a deep respect for their differences and needs.

• Commitment to Healthy Living - UMMS provides resources to help you balance work and life and encourages healthy living through great programs and discounts for fitness, physical activity, weight management, nutritional counseling and general wellness available through our health insurance plans.

• Breadth of Offerings - Above all, the breadth of UMMS offerings set the School apart and makes it an environment favored by all sorts of smart, career-savvy people.

Apply for a Job

As an equal opportunity and affirmative action employer, UMMS recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.

Online - To view all job opportunities and apply online, visit www.umassmed.edu/hr and click on the “Careers” tab.

Start Now and Realize Your Opportunities!

A History of Making Vital Improvements - UMASS Medical School Milestones

1962: Legislation establishes University of Massachusetts Medical School
1970: First medical students begin classes in Shaw Building
1974: First class graduates 16 MDs
1979: PhD program begins
1986: Graduate School of Nursing opens
1986: PhD program becomes Graduate School of Biomedical Sciences
1994: Graduate School of Nursing initiates PhD program
1998: UMass Clinical System and Memorial Health Care merge to form UMass Memorial Health Care
2001: Lazare Research Building opens
2002: Campus Modernization begins on the University Campus
2004: Graduate Entry Pathway Program established at the Graduate School of Nursing
2005: PhD Program in Clinical & Population Health Research established at the Graduate School of Biomedical Sciences
2005: Massachusetts Biologic Laboratories opens new manufacturing and filling facility in Mattapan
2006: Craig Mello, PhD, Blais University Chair in Molecular Medicine and Howard Hughes Medical Institute Investigator, is awarded the Medical School's first Nobel Prize. Dr. Mello shared the 2006 Nobel Prize in Physiology or Medicine with Andrew Fire, PhD, of Stanford University, for their discoveries related to RNA interference.
2007: Michael F. Collins, MD, is named chancellor and Terence R. Flotte, MD, is named dean of the School of Medicine.  
2009: Groundbreaking for the Albert Sherman Center, a 500,000-square-foot research and education facility slated for completion in 2012.
2010: Ambulatory Care Center opens
2012: The Albert Sherman Center, a 500,000-square-foot research and education facility, completed and opens

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