Reimbursement Services Director jobs in Queens Village, NY

The Clinical Director of Outpatient Services is responsible for the daily activities and supervision of services provided in addition to contributing to the creation, development and implementation of program systems, policies and processes that align with the behavioral health program development strategies. The Clinical Director of Outpatient Services reports to the Vice President of Behavioral Health Services.

Essential Duties and Responsibilities:

Core duties and responsibilities include the following. Other duties may be assigned.

- Responsible for the implementation, delivery, coordination and supervision of clinical services, as well as the daily activities and supervision of program services throughout the Outpatient and OTP programs.

- Management and quality assurance of all clinical services including training and supervision of all clinical staff.

- Ensures programs functions with clinical integrity and maintains compliance with licensure

standards, policies and procedures, HIPAA and all applicable confidentiality laws.

- Oversee the outcome-driven planning, implementation and evaluation of BH programs.

- Contributes to the adaptation and program development systems, policies, and procedures to evolve with agency’s growth strategy and targets.

- Ensure the programs and services contribute to the organization’s mission and reflect the priorities and approved budgets.

- Conducts searches for relevant funding opportunities.

- Development of and writing contracts, in connection with operational staff, as well as grants to submit for funding, employment and training.

- Analyze program data to determine impact of programs and plan strategically.

- Assures programs are performing for value based payment structure

- Evaluates and implements evidence based clinical and psychoeducational curricula and best practices for all programs.

- Supervises work efforts of departmental supervisory staff.

- Evaluates and provides performance feedback to subordinates.

- Determine and monitor program workload targets, evaluate staff productivity and quality of services.

- Develops, maintains, and educates staff members about record keeping policies that ensure comprehensive participant care and that meet the guidelines of all regulatory agencies.

- Participates in and leads interdisciplinary case conferencing.

- Participates in departmental meetings.

- Participates in leadership meetings.

- Assists in work plan developments.

- Conducts regularly scheduled chart reviews, ensuring quality of documentation, confidentiality and continuity of all required documentation and records, ensuring compliance with regulatory requirements.

- Provides individual and group clinical supervision of clinical staff and interns, evaluating and providing performance feedback.

- Conducts in-service trainings.

- Provide/promote excellent participant services.

- Works closely with billing department to ensure timely submission of all clinical documentation required for billing.

- Remains appraised of changes in Medicaid Behavioral Health approved services including level of care criteria, utilization management practices, quality improvement, and finance and billing processes.

- Collaborates with Medical Director, review findings and ensure recommendations are carried out.

- Evaluate participants for mental health issues as needed.

- Participate in agency wide Quality Assurance and Improvement team.

- Monitors program census and assists in development and implementation of recruitment strategies.

- In conjunction with the leadership team, assists in maintaining confidentiality, ethics and professional conduct throughout the agency.

- Participates in fundraising activities.

- Assists with organizing and implementing agency wide events.

- Maintains a climate which attracts, keeps, and motivates a staff of top-quality people.

- May be required to work evenings and weekends.

Supervisory Responsibilities:

Manages supervisors in the Outpatient services departments who provide supervision to their supervisees. Also provide clinical supervision to all employees and interns providing Treatment, Prevention and Recovery services within Elmcor. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

- Current licensure as a LCSW with at least three years’ experience in supervising behavioral health services. Additionally, in compliance with OASAS regulations, the individual:

- Must have at least three years of full-time clinical work experience in the chemical dependence field, at least one year of which must be supervisory, prior to appointment as clinical director.

- Must have basic computer skills.

Job Type: Full-time

Pay: $100,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Relocate:

• Corona, NY 11368: Relocate before starting work (Required)

Work Location: In person