Program Manager
Institute on AgingAbout the role
IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the “status-quo” and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.
Institute on Aging is seeking a Manager to join its team to lead the HCBA Program in the Inland Empire. The primary responsibility is to manage Program Operations for HCBA, and additional programs as the agency expands care management services in the city and county.ESSENTIAL JOB FUNCTIONS:
OPERATIONS
- Direct and monitor the Program to adhere to contract guidelines and acceptable clinical standards of practice
- Provide oversight and leadership to the Clinical Supervisors, Care Managers, and Administrative staff
- Collaborate with the Senior Director to manage vendor and community agency partnerships
- Monitor program referrals/enrollments, caseload sizes, and ensure timely implementation of care management processes in order to fulfill contract requirements
- Ensure Program Policies and Procedures are consistent with IOA Policies and Procedures
- Implement collective bargaining agreement changes (where applicable) and ensure program compliance
- Work with centralized leaders and VP of CLS to maintain accurate and current Program Policies and Procedures in compliance with DHCS guidelines
- Clearly define roles and responsibilities of all program staff including identifying areas for professional growth and development
- Develop and implement HCBA programs in collaboration with the outside agencies (HHA, PCA, Health Plans)
- Work in collaboration with community providers to identify gaps in community-based services and supports for high-risk, low-income individuals
- Ensure documentation and clinical records are in compliance with program policies & procedures, contract guidelines, and meet the expectations of internal and external audits/reviews
- Participate in recruiting, onboarding, performance management, terminating of all staff
- Participate in relevant Community Based Organization and agency services meetings and community workgroups that are relevant to local care management services
- Participate in relevant meetings and workgroups with the health plan to develop a more integrated long-term care community support system
- Participate in local and statewide associations advocating on behalf of improved community based long-term care services
- Collaborate with Senior Leadership to identify additional funding opportunities to support the expansion of services.
- Work with Program Managers, Directors and VP of Community Living Services to develop best practices for community-based managed long-term support and services.
- Work with Clinical Supervisors to develop short term and long-term programmatic goals and objectives.
- Partner with Sr. Director, VP developing internal and external budgets, forecasts, and variance analyses.
- Participate in relevant Institute on Aging meetings and work groups to integrate program operations into the agency
- Administratively support operations and work closely with Technology Services to manage all data exchange and integration both internally and externally
- Develop improvement plans to ensure all contract deliverables are achieved annually.
QUALITY ASSURANCE
- Prepare for and facilitate ongoing audit requirements as requested by the City and County
- Provide oversight of bi-annual Peer Review, development of plan of improvement, as well as implementation of program improvements.
- Ensure annual client and provider satisfaction surveys are conducted.
MEDI-CAL WAIVERS
- Monitor compliance with MediCal Waiver programs and contracts such as CCT, ALW, etc.
- Monitor enrollments of waiver participants.
- Conduct regular meetings with Finance Business Partner and Technology Services to ensure maximum contract billing.
BUDGET MANAGEMENT
- In collaboration with VP, review and approve budgets as needed.
- Develop program budgets and budget modifications for IOA and the health plan
- In collaboration with IOA Accounting and Finance Business Partner, update Adaptive forecasts on an ongoing basis.
- All other related duties as assigned.
BACKGROUND & EXPERIENCE:
- Minimum 3 years supervisory experience in medical or community-based sett
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