OverviewOversees the completion and approval of all clinical utilization documentation, including Start of Care, Re-certification, Resumption of Care, Follow up (SCIC), Transfer, Discharge OASIS, and Evaluation visits. Ensures clear and appropriate visit utilization using evidence-based practices to provide positive clinical outcomes and efficient use of resources. Identifies and addresses inter-professional performance issues related to documentation and provides individualized performance evaluation assessments to clinical leadership and staff. Collaborates with leadership to promote patient centered care and enhance employee engagement in all roles. Works under general supervision. • Reviews and approves evaluation documentation, OASIS and Patient Plan of Care. Assures consistency with the comprehensive assessment and the patient plan of care. Reviews data submitted from the field staff to ensure accuracy and follows up on any documentation that requires correction. • Ensures that service utilization correlates with assessment data and is aligned with the suggested visit and other utilization to support effective and efficient outcomes. • Processes OASIS and Patient Plan of Care; verifies the correct start of care date and episode date range. Follows up on OASIS Assessments that cannot be processed due to document deficiencies. Addresses such deficiencies with clinician. Identifies and escalates trends with leadership. • Processes any unlisted supplies, medications, activity, functional limitations, allergies, etc. that appear on the action screen to assure completion of the Patient Plan of Care. • Ensures that appropriate Care Types are selected based on client’s medical condition and staffs’ assessment data. • Reviews and processes ROC and Discharge Assessment Data to ensure accuracy; follows up on any documentation that requires correction. • Ensures patient's plan of care is completed and reassessed by the appropriate health care professional when there is a significant health status change in the patient's condition, at the physician's request and after hospital discharge. Ensures appropriate documentation is completed for all patients transferred to an inpatient facility. • Educates clinicians to follow best practices in documentation and OASIS completion. Identifies areas of concern and works with Education resources to revise courses as needed. • Develops, assigns and completes training activities in conjunction with other departments (Education, Quality, etc.), based on individual clinicians’ learning needs and capabilities. Provides direction to staff via telephone in response to any situations arising in the field with regard to documentation. • Provides coaching, education, performance evaluation assessments, co-visits and counseling and discipline, as needed, to clinicians regarding job performance. Maintains complete and timely documentation of performance management activity and clinician progress. Evaluates clinician’s performance for annual performance review process. • Collaborates internally to ensure timely and appropriate processing of patient care for optional outcomes and scheduling process • Identifies, resolves and/or escalate issues to improve outcomes and efficiency in patient care, clinician work and organizational processes. • Participates in special projects and performs other duties as assigned. QualificationsLicenses and Certifications: License and current registration to practice as a Registered Professional Nurse, Physical Therapist or Occupational Therapist or Speech Language Pathologist licensed in New York State required OASIS certification required within one year of job entry date. Education: Bachelor's Degree required or Master's Degree requiredWork Experience: Minimum of three years clinical experience in community health care required Prior clinical management, utilization management or care management experience preferred Proficiency in Microsoft Office applications required Demonstrated analytical skills required Pay RangeUSD $98,200.00 - USD $130,800.00 /Yr. About UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewManages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with an emphasis upon an inter-disciplinary team approach to the delivery of care. Works under general direction. • Provides clinical supervision to staff including assigning, monitoring and evaluating cases for clinical team(s). Conducts regularly scheduled team meetings. Provides back-up coverage for program leadership as required. • Manages triage and case assignment procedures, new referrals, liaison activities, and staff scheduling to insure adequate coverage at all times. • Collaborates with other team members and Behavioral Health Services (BHS) leadership in formulating clinical and administrative policies and procedures, preparing policy and procedure manuals, implementing and maintaining established policies and procedures, and proposing modifications and revisions of policies and procedures, as indicated. • Collects, tracks, and monitors progress and outcomes for all staff assigned to the team(s); produces and maintains detailed reports for all data pertinent to the program. Reports relevant data to funders and central administration as needed. • Oversees the maintenance of updated case records for team(s) through EMR and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with program policies/procedures, as well as VNS Health, city, and state standards and regulatory requirements. • Monitors the program budget and is knowledgeable of all financial aspects of the program, including, but not limited to, reimbursement and purchasing. • Ensures volume and productivity meet program standards and operations. • Oversees compliance of quality and performance indicators, and supervises staff to achieve goals. Performs internal audits to ensure compliance with policies and procedures and takes corrective action, as necessary to address deficiencies. • Provides clinical subject matter expertise and serves as a resource to supervisors, clinicians and staff. • Provides assessment, direct services to program participants and families in the community; advises and consults in case conferences, staff meetings, and discharge planning as needed. • Promotes positive relationships within VNS Health and other community service organizations. Serves as program liaison to other community agencies, negotiating formal liaison and organizing consultation and education for referral sources. • Participates in 24/7 on-call coverage schedule and performs on-call duties, as required. • Investigates complaints registered by program participants, completes Incident Reports and other safety and quality reports within required time frames. • Collaborates with progrm leadership and other staff in the development and implementation of in-service education programs. • Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance and recommends hiring, promotions, salary actions, and terminations, as appropriate. • Oversees the development of systems and records for billing each MCO. • For CCBHC and Central Intake program only: • Serves as primary liaison to external community-based organizations and referral sources. Assists VP, CCBHC in establishing and negotiating formal MOUs and DCO agreements. • Ensures education and training on all VNS Health BH services to both internal and external organizations, including eligibility criteria and referral procedures. Collaborates with program leadership and other staff in the development and implementation of in-service education programs. • Collaborates with Clinic leadership team to manage triage and case assignment procedures, new referrals, liaison activities, and staff scheduling to ensure adequate coverage at all times. • Fulfills the role of Super-user in EMR system & is responsible for training of all new and existing employees. Oversees the maintenance of case records for team(s) within the EMR and coordinates effective communication throughout all external provider databases, as needed. • Maintains case records in accordance with program policies/procedures, as well as VNS Health, city, state, and federal standards and regulatory requirements. • Participates in special projects and performs other duties as assigned. QualificationsLicenses and Certifications: Valid New York State driver’s license may be based on program needs required License and current registration to practice as a Nurse, Social Worker, Psychologist, Marriage and Family Therapist, Mental Health Counselor or other related license in the State of New York required For IMT: LCSW required For BHCT:LCSW required For Children’s Health Home Program: Child and Adolescent Needs and Strengths New York (CANS) certification Must complete necessary training to administer and review the CANS NY assessment in the UAS system within 60 days of start date preferred LCSW or equivalent licensure preferred Education: Master's Degree degree in Social Work, Psychology, Marriage and Family Therapy, Mental Health Counseling, Nursing or other related field requiredWork Experience: Minimum of five years of supervisory and administrative experience with demonstrated competency in program management, budget management, and community relations required Strong interpersonal and leadership skills required. Knowledge of Microsoft applications required For Children’s Services: Prior experience in working with children and adolescents, preferably in a mental health setting required For Adult Services: Prior experience working in a community behavioral health care setting required Experience with EMR systems preferred Knowledge of city and state agency and/or managed care functioning preferred Pay RangeUSD $77,200.00 - USD $96,500.00 /Yr. About UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewManages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with an emphasis upon an inter-disciplinary team approach to the delivery of care. Works under general direction. What We ProvideAttractive sign-on bonus and referral bonus opportunitiesGenerous paid time off (PTO), starting at30 daysof paid time offand 9 companyholidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement savingfundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of ProfessionalsWhat You Will DoProvides clinical supervision to staff including assigning, monitoring and evaluating cases for clinical team(s). Conducts regularly scheduled team meetings. Provides back-up coverage for program leadership as required.Manages triage and case assignment procedures, new referrals, liaison activities, and staff scheduling to insure adequate coverage at all times.Collaborates with other team members and Behavioral Health Services (BHS) leadership in formulating clinical and administrative policies and procedures, preparing policy and procedure manuals, implementing and maintaining established policies and procedures, and proposing modifications and revisions of policies and procedures, as indicated.Collects, tracks, and monitors progress and outcomes for all staff assigned to the team(s); produces and maintains detailed reports for all data pertinent to the program. Reports relevant data to funders and central administration as needed.• Oversees the maintenance of updated case records for team(s) through EMR and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with program policies/procedures, as well as VNS Health, city, and state standards and regulatory requirements.Monitors the program budget and is knowledgeable of all financial aspects of the program, including, but not limited to, reimbursement and purchasing.Ensures volume and productivity meet program standards and operations.Oversees compliance of quality and performance indicators, and supervises staff to achieve goals. Performs internal audits to ensure compliance with policies and procedures and takes corrective action, as necessary to address deficiencies.Provides clinical subject matter expertise and serves as a resource to supervisors, clinicians and staff. • Provides assessment, direct services to program participants and families in the community; advises and consults in case conferences, staff meetings, and discharge planning as needed.Promotes positive relationships within VNS Health and other community service organizations. Serves as program liaison to other community agencies, negotiating formal liaison and organizing consultation and education for referral sources.Participates in 24/7 on-call coverage schedule and performs on-call duties, as required.Investigates complaints registered by program participants, completes Incident Reports and other safety and quality reports within required time frames.Collaborates with program leadership and other staff in the development and implementation of in-service education programs.Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance and recommends hiring, promotions, salary actions, and terminations, as appropriate.Oversees the development of systems and records for billing each MCO. QualificationsLicenses and Certifications:Valid New York State driver’s license may be based on program needs required License and current registration to practice as a Nurse, Social Worker, Psychologist, Marriage and Family Therapist, Mental Health Counselor or other related license in the State of New York requiredFor IMT: LCSW required or LMHCEducation: Master's Degree degree in Social Work, Psychology, Marriage and Family Therapy, Mental Health Counseling, Nursing or other related field requiredWork Experience:Minimum of five years of supervisory and administrative experience with demonstrated competency in program management, budget management, and community relations requiredStrong interpersonal and leadership skills required.Knowledge of Microsoft applications required For Adult Services: Prior experience working in a community behavioral health care setting required Experience with EMR systems preferred Knowledge of city and state agency and/or managed care functioning preferred Pay RangeUSD $77,200.00 - USD $96,500.00 /Yr. About UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.