Member Services Director jobs in Rochester, NY

Member Services Director directs and coordinates all aspects of the health maintenance organization (HMO) member services department. Plans and directs policies and objectives for addressing member inquiries. Being a Member Services Director establishes service quality goals for the department and implements strategies to meet these goals. Typically requires a bachelor's degree. Additionally, Member Services Director typically reports to top management. The Member Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Member Services Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

C
Director of Clinical Services
  • Catholic Charities Family & Community Services
  • Rochester, NY FULL_TIME
  • Provide oversight and guidance to the CORE and BH-HCBS programs, including direct oversight of CORE, BH-HCBS staff. Oversight of day-to-day operations and direct service provision for individuals in education, employment, and individuals with behavioral health conditions and/or substance use disorder under CORE and BH-HCBS program contracts. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.


    Essential Duties and Responsibilities

    • Provides administrative oversight and direction to identified program services.
      • Provides supervision to program staff within Clinical and Vocational Services team.
      • Sets goals, reviews, and documents performance, and leads staff in accordance with CCFCS’s mission, vision, and values.
      • Assists with the process for updating and maintaining program policies and procedures; including seeking input from the team; assessing all factors and working the full cycle of implementation to execution.
      • Participates in the program evaluation process and ongoing monitoring of program activities.
      • Assures appropriate reporting to established entities.
      • Recruits and provides training and orientation to staff members.
      • Assists with audits and other external reviews.
    • Provides ongoing program development, and evaluations to maintain viability and credibility in service provision.
      • Ensures Clinical and Vocational Services staff members stay in compliance with all funder’s updated training and regulations (e.g., CPI, Peer Certifications, NYS Case, etc.)
      • Monitors and evaluates program effectiveness in accordance with contracts and agency standards.
      • Collaborates with the VP in the preparation and management of program budget.
    • Oversees data and reporting quality.
      • Implements new technology to data records systems.
      • Creates and maintains higher quality of reporting and data entry.
      • Oversees client placement data and improvement of billing systems/protocols.
      • Initiates and implements staff development training for all staff in the department.
      • Applies agency and department strategic goals to clinical programs.


      • Maintains records of training participation
    • Monitors compliance with funders and governmental bodies.
    • Participates in relevant Agency meetings and ongoing development of professional knowledge and skills.
      • Attends program and departmental meetings.
      • Maintains and develops professional knowledge and skills through involvement in Agency in-service training, workshops, reading, and conferences.
    • Scheduling, evaluating, ongoing staff development, team meetings and individual supervisory meetings.
    • Ensures appropriate steps are taken when an employee fails to follow policies and procedures including corrective discipline, retraining and/or termination of employment.
    • Oversees case assignments and caseloads within clinical, employment, and education programs.
    • Coordinates partnerships with employment and benefits planning services in the community.
    • Evaluates educational/career plans, assist with skill development, financial aid resources, and assist with applications.
    • Provides coverage for other supervisory staff as needed.
    • Completes required auditing practices, both internally and for funder.
    • Completes billing for all reporting programs.
    • Oversees, or in the absence of employment staff, provide intake and assessment screening service plan development and implementation and referrals to appropriate services.
    • Monitors and review specific clinical, employment, and education programs service plans with individuals.
    • Oversees implementation of plans to the satisfaction of the individuals served.
    • Assists clients with accessing employment, educational, or clinical services in order to advance their employment opportunities.
    • Assists individuals with accessing needs for other services i.e. medical services, and other psycho-social needs in absence of or in coordination with primary case manager.
    • Ensures that staff maintain individual files in a timely manner which include, but not limited to case open and closure, daily progress notes and other pertinent information.
    • Participates in case conferences and case reviews with other service providers to avoid duplication of services, when applicable.
    • Attends mandatory training.
    • Represents Catholic Charities on community boards, workgroups, networks assigned especially those pertaining to employment and benefits planning programs.
    • Other duties as assigned by Vice President of Supportive Services


    Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required.

    Qualifications

    Licensed Master of Social Work (LMSW) or LCSW required. At least 3 years of clinical or care management experience for persons with substance use disorder and/or mental health. An equivalent combination of education and experience will be considered.


    A minimum of 1 year of supervisory experience preferred.


    Previous experience in overseeing programmatic operations and budgets preferred.


    Physical Demands/Work Environment:


    • Use hands to manipulate, handle, feel, and control items or equipment, including motor vehicle;
    • Stand, sit, walk, bend, stoop, kneel, and reach;
    • Climb up or down stairs;
    • Able to reach above or below shoulders;
    • Occasionally lift or move objects weighing up to 25 lbs;
    • Sitting at a desk or in a vehicle for long periods of time to perform certain job functions;
    • Be able to read write and interpret written documents;

    Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CCFCS’s corporate compliance & ethics program.


    Additional Requirements:

    • Demonstrate ethical business practices, in conformance with all state and federal laws and regulations.
    • Possess excellent verbal and written communication skills.
    • Ability to multi-task and prioritize duties.
    • Ability to travel in all weather conditions throughout the counties served.
    • Willingness to foster agency, department and program wide cooperation and team work through use of positive/constructive communication techniques.
    • Ability to maintain absolute confidentiality in regards to all records reviewed including consumer records, employee records and billing records.
    • Proficiency and experience with PC’s and Microsoft applications.
    • Ability to analyze and interpret data and to handle problem resolution.
    • Possession of a valid NYS Driver’s license and a driver's record considered acceptable by agency and insurance carrier.
    • Continuous use of a reliable, registered and insured vehicle.
    • Ability to travel in all weather conditions throughout the counties served.
    • Demonstrate commitment to Agency Mission Statement.
    • Demonstrate full adherence to the CCFCS Code of Conduct and all policies/procedures related to compliance.
  • 28 Days Ago

E
Critical Care Director - Emergency Services & ICU
  • Emergency Services & ICU - Knowhirematch
  • Geneva, NY FULL_TIME
  • Title: Critical Care Director - Emergency Services & ICU Location: Geneva, NYSalary: $130-150K Bonus Relocation Package Signing BonusAre you a dynamic leader ready to elevate critical care services in...
  • 9 Days Ago

S
Dining Services Team Member - part time
  • St. John's Senior Services
  • Rochester, NY PART_TIME
  • St. John’s is leading and inspiring a shift in society’s views of elder hood. Join our family of dedicated, talented employees who are at the forefront of innovative senior services delivery in this c...
  • 16 Days Ago

B
Director of Mental Health Services
  • Bivona Child Advocacy Center
  • Rochester, NY FULL_TIME
  • POSITION TITLE: Director of Mental Health Services REPORTS TO: President & CEO SALARY RANGE: $72,500 - $85,000 FLSA STATUS: Full time, Exempt GENERAL DESCRIPTION: We are seeking a dedicated and experi...
  • 17 Days Ago

E
Director of Nutrition Services
  • Elemental Management Group
  • Fairport, NY FULL_TIME
  • Aaron Manor Rehabilitation and Continuing Care is looking for a Dietary Director to oversee and administer strategic, operational, fiscal, and personnel activities for AaronManor Nursing home. This po...
  • 18 Days Ago

R
Director Counseling and Psychological Services
  • Rochester Institute of Technology
  • Rochester, NY FULL_TIME
  • Director Counseling and Psychological Services 7352BR Student Affairs Detailed Job Description Please note-this position requires the ability to work some occasional evening hours and weekend hours. P...
  • 21 Days Ago

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0 Member Services Director jobs found in Rochester, NY area

Q
Managing Director
  • Q Works Group
  • West Henrietta, NY
  • Are you prepared to spearhead the transformative journey for a global partner in the automotive industry? We have an ope...
  • 4/24/2024 12:00:00 AM

B
Director of Development & Publicity
  • BOA Editions, Ltd.
  • Rochester, NY
  • Job Description Job Description BOA Editions, Ltd., is a nationally celebrated, Rochester-based not-for-profit publisher...
  • 4/23/2024 12:00:00 AM

I
Director of Operations
  • Insight Global
  • Warsaw, NY
  • Perm Opportunity 3 rounds of interviews Salary: $130,000-$145,000 Required Skills and Experience * - Bachelors degree or...
  • 4/23/2024 12:00:00 AM

D
Director of Technology
  • DelMonte Hotel Group
  • Rochester, NY
  • Do you want to be part of a growing company with the ability to make a difference? Consider joining the DelMonte Hotel G...
  • 4/22/2024 12:00:00 AM

G
Director of Development
  • Genesee Land Trust
  • Rochester, NY
  • Salary Range: $70,000 - $80,000, based on a full-time, 35 hours per week schedule. Benefits:Health insurance, health sav...
  • 4/22/2024 12:00:00 AM

Q
Managing Director
  • Q Works Group
  • West Henrietta, NY
  • Are you prepared to spearhead the transformative journey for a global partner in the automotive industry? We have an ope...
  • 4/21/2024 12:00:00 AM

I
Director of Operations
  • Insight Global
  • Warsaw, NY
  • Perm Opportunity 3 rounds of interviews Salary: $130,000-$145,000 Required Skills and Experience * Bachelors degree or e...
  • 4/21/2024 12:00:00 AM

A
Healthcare Maintenance Director
  • Aramark
  • Warsaw, NY
  • Job Description !!!$10,000 SIGN ON BONUS!!! Aramark Healthcare+ is seeking candidates for a Healthcare Maintenance Direc...
  • 1/25/2024 12:00:00 AM

Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast. According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Director jobs
$130,453 to $178,853
Rochester, New York area prices
were up 1.5% from a year ago

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