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Health & Welfare Council of Long Island · 2 weeks ago

Senior Director of Clinical Services

Huntington Station, NY

Full-time

Hybrid

Director/Executive

$130K/yr - $160K/yr

The Health and Welfare Council of Long Island (HWCLI) is a private, not for profit organization that advocates for health and human services. They are seeking a Senior Director of Clinical Services for the HEALI Social Care Network to develop policies and oversee partnerships with healthcare providers to enhance integrative care.

Funding PlatformHealth CareNon Profit

Hiring Manager

Meagan Kelly, SHRM-CP

Responsibilities

Providing direct or indirect medical oversight for all utilization review and care management and service coordination programs where such supervision is required by contract, law or regulation

Identifying business opportunities (disease prevention and other evidence-based programs) with heath care providers including Federally Qualified Health Centers, patient-centered medical homes, and specialty medical groups, as well as managed care organizations in the marketplace including Medicare Advantage, Medicaid and dual eligible plans, commercial insurers, large self-funded employers, and state-owned plans

Delineating and reviewing care outcome and impact reports and using this information to improve quality of social services provided, as well as to focus HEALI’s resources on areas of greatest impact

Facilitating access and utilizing outcomes data and validating the process and progress made during service delivery, early identification of status changes and intervention

Helping manage health care relationships, challenges with clients and providing expertise and guidance when concerns of care are raised

Involvement with network delivery including engaging health plan and healthcare partners in the impact of

Conducting team education on the importance of community integrative care with internal CHWs and across the HEALI network

Assisting the HEALI team with creative solutions to barriers involving medical care, diagnosis, treatment and access issues, as well as identifying opportunities for improving Long-Term Services and Supports and Social Determinants of Health

Representing the organization on medical issues at national and state-level meetings, including Department of Health, Office of the Aging, Department of Mental Health, public health associations, hospital associations, medical societies, and other professional meetings

Assisting with public relations and advocacy efforts that promote the evidence-based programs of the organization within the community

Developing initiatives related to building community partnerships and capacity for services provided to health care systems members, and engaging HEALI’s senior leaders in promoting the organization, including through participation on health care-related boards, councils and other policy-making organizations

Staying abreast of developments in the health care environment locally, regionally and nationally to help guide HEALI’s core mission and strategy

Qualification

Advanced Nurse PractitionerValue Based Payment knowledgeMedicaidMedicare knowledgeProgrammatic impact analysisSocial care championLong Island community knowledgeEvidence-based programs knowledgeAdvocacy experienceMarketing experienceEmpathy for client populationsMicrosoft Office proficiencyCommunication skillsInterpersonal skills