CLINICAL SERVICE DIRECTOR

JOB PURPOSE:

The Clinical Service Director, under the direction of the VP of Clinical Services, supervises all day-to-day operations of the Interdisciplinary teams and participant outcomes. As such, the CSD serves as the Director of Patient Services (DPS) for the LHCSA and coordinates the multi-disciplinary integrated care in the community, Day Health Center, Diagnostic & Treatment Center, and throughout the continuum of care. Coordinates with all Managers to ensure all metrics logs are complete and provide support and assistance as required.

JOB RESPONSIBILITIES:

IDT

• Takes initiative, is resourceful, proactive, creative, innovative, and independent.

• Oversees, coordinates, and provides support to site-based Managers and clinical staff, including, but not limited to, the DTC and GCC, rehab department, nutritional services, social workers, and home services management.

• Balances & allocates IDT and related resources throughout the site and ensures adequate team assignments and coverage.

• Reviews and ensures effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants.

• Provides oversight of the provision of services that impact participants’ care.

• Implement in-service training and management directives to support the development and advancement of team members.

• Collects data for operational metrics geared towards ensuring participants are treated in the right venue at the right time and at the right cost at the highest levels of quality.

• Participates in all quality assurance and regulatory compliance activities to ensure appropriate regulatory certifications.

• Serves as LHCSA DPS and Nursing Director for D&TC.

• Supervises DTC RN.

• Serves as administrative on-call during non-operational hours of the physical sites.

• Implement in-service training and management directives to support the development and advancement of team members.

• Collaborates with departments within the clinical development pillar (medical board, research & innovation, clinical standards, and processes) to establish new & improved care delivery processes and treatment protocols.

• Enrolls/dis-enrolls participants in the HCS System as applicable.

• Monitor and eliminate voluntary disenrollment.

• Only acts within the scope of the individual’s authority to practice.

• Meets a standardized set of competencies for the specific position description established by the PACE organization before working independently.

Quality

• Ensure all perspective disenrollment is managed and interventions created when applicable and are established to prevent the participant from disenrolling.

• Ensures all documentation for all participants is complete and accurate, including but not limited to enrollment, disenrollment, electronic/paper medical records, and any other clinical documentation.

• Ensures all incidents are investigated and addressed accordingly. Ensure that the Level 2 investigation is completed in a timely manner according to regulations.

• Investigates and assists in documenting and resolving customer issues and grievances in a timely, accurate, and courteous manner. This includes working with the other departments to resolve the source of the problem(s).

• Review participants’ charts for quality and address any deficiencies.

• Participate in special projects and assignments as required. 

Managerial Standards

• Ensures that direct reports conduct their duties according to applicable rules and regulations as well as the organization’s policies and procedures.

• Evaluates the work performance and competency of direct reports. This includes ongoing informal feedback/counseling/support and completion of annual performance reviews.  

• Holds staff accountable for their individual performance.

• Follows the organization’s policies regarding disciplinary action. Engages Human Resources as needed for guidance on disciplinary actions and terminations.

• Develops individual professional development plans with direct reports, including the identification of in-service training needs and interests.

• Investigate and resolve employee grievances and complaints. Engages with Human Resources as appropriate.

• Participates in the annual budgeting process for the department; manages departmental budget; approves departmental expenditures.

Schedule: 8:30 AM – 5:30 PM

Weekly Hours: 40

QUALIFICATIONS: