Neighborhood Healthcare
Supervisor, Participant Navigation Center, PACE
Neighborhood Healthcare, Riverside, California, United States, 92504
About UsCommunity health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.
Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.
As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 90k people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.
ROLE OVERVIEW and PURPOSE
Under the direction of the PACE Center Manager, the PACE PNC Supervisor is responsible for the operations of the Participant Navigation Center, ensuring that efficient systems are in place and staff is properly trained. The Participant Navigation Center Manager implements and evaluates systems within the center that promotes quality of care while monitoring cost effectiveness and collects, organizes and shares data with appropriate staff for continual quality improvement of operations. Maintains awareness of factors that affect the participant experience, including interactions in the work environment. Directs and motivates stakeholders to take action that consistently delivers high quality participant care and exceptional participant experience.
RESPONSIBILITIES
Supports the mission, vision and values of Neighborhood Healthcare PACE.Emphasize, demonstrate, promote and adhere to excellent customer service skills including professionalism, confidentiality and proper etiquette.Prioritizes staffing, workflows and skill development as appropriate to respond to customer needs.Fosters effective communication and team building among staff to enhance employee and participant satisfaction.Participates in monthly manager meetings, monthly operations meeting and other meetings as directed. Conduct department meetings as needed. Share information with support staff, providers, administration and other staff as needed.Assists with the development, implementation and monitoring of policies and procedures related to referrals for external or internal operations.Manage daily operations and oversee the department's work plan, ensuring compliance with regulations, policies, and performance standards.Manages/Monitors productivity, quality metrics for the department and works with department on needed improvements.Provides updates and insight on analysis, and reporting of the department on a monthly basis or as directed by Leadership.Works on continuous quality improvement for department; this includes responding to participant /provider/staff feedback.Contacts Providers or appropriate staff as necessary to maintain complete and accurate Participant Records.Integrate referral and medical record management with ongoing medical and case management activities.Attends and actively participates in required meetings and committees as requested.Works with HR in recruitment of staff, orientation, training, coaching, and skills development.Holds knowledge and acts as a resource to all staff regarding policies, procedures, and regulations related to the Participant Navigation Center.Provides staff coverage as needed.Other duties as assigned.Supervision
Completes performance evaluations for direct reports.Makes recommendations to Human Resources regarding new hires, transfers, suspensions, promotions, discharge, assignments, rewards or discipline.evaluate staff performance against job description criteria with input from Site Managers, Providers and other staff, and provides guidance and coaching to develop an individual as well as department to highest potentialAssist and conduct department meetings to promote communication, assess and resolve needs and foster teamworkWork collaboratively with Human Resources to provide appropriate and timely follow-up on employee relations issues that require coaching and/or discipline.Keep staff informed of organizational activities and promote Neighborhood Healthcare mission and goals.Customer Relations
Respond promptly and with caring actions to participants and employees. Acknowledge psychosocial, spiritual and cultural beliefs and honor these beliefs.Maintain professional working relationships with all levels of staff, clients and the public.Be part of a team and cooperate in accomplishing department goals and objectivesEDUCATION/EXPERIENCE
High school/GED, required. Bachelor’s degree, preferred.Minimum of 2 years in medical management for managed care, including claims, referral authorization, and/or front/back-office duties requiredValid BLS certification in accordance with the American Heart Association Guidelines required upon hireMinimum of two years’ experience in supervisor or management position in healthcare or related field preferred.Experience working collaboratively with some and/or all the following disciplines: nursing, social work, psychology, recreation, occupational therapy, physical therapy, speech therapy, dietetics, and/or gerontology preferred.Bilingual: English/Spanish preferred.ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)
Emotional intelligence (EI), the ability to be sensitive to and understand the emotions of others and to manage his or her own emotions and impulses required.Effective verbal and written communication, organization and interpersonal skills.Ability to interface with all levels of personnel in a professional manner.Ability to work with people of all social and ethnic backgrounds and maintain confidentiality.Ability to work independently and as part of a team. Able to assume leadership role in a health care organization.Able to train and develop staff.Ability to interpret a variety of instructions in written, oral, diagram, or schedule formAbility to successfully manage multiple tasks simultaneouslyExcellent planning and organizational abilityAbility to work as part of a team as well as independentlyAbility to work with highly confidential information in a professional and ethical mannerPhysical Requirements
Ability to lift/carry
50 lbs. /weightAbility to stand for long periods of timeCOMPLIANCE (Safety & HIPPA)
Follows all safety procedures as outlined in Neighborhood Healthcare’s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediatelyMaintains current knowledge of policies and procedures as they relate to safe work practicesFollows all safety procedures and report unsafe conditionsUses appropriate body mechanics to ensure an injury free environmentFamiliarity with location of nearest fire extinguisher and emergency exitsFollows all infection control procedures including blood-borne pathogen protocolsMaintains privacy of all patients, employee and volunteer information and access such information only on a need-to-know basis for business purposesComplies with all regulations regarding corporate integrity and security obligationsReports all behavior and/or activity that are unethical, fraudulent, or unlawful
Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!
Pay range: $79,800.00 - $111,300.00 annually, depending on experience, education and additional requirements.
Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.
As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 90k people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.
ROLE OVERVIEW and PURPOSE
Under the direction of the PACE Center Manager, the PACE PNC Supervisor is responsible for the operations of the Participant Navigation Center, ensuring that efficient systems are in place and staff is properly trained. The Participant Navigation Center Manager implements and evaluates systems within the center that promotes quality of care while monitoring cost effectiveness and collects, organizes and shares data with appropriate staff for continual quality improvement of operations. Maintains awareness of factors that affect the participant experience, including interactions in the work environment. Directs and motivates stakeholders to take action that consistently delivers high quality participant care and exceptional participant experience.
RESPONSIBILITIES
Supports the mission, vision and values of Neighborhood Healthcare PACE.Emphasize, demonstrate, promote and adhere to excellent customer service skills including professionalism, confidentiality and proper etiquette.Prioritizes staffing, workflows and skill development as appropriate to respond to customer needs.Fosters effective communication and team building among staff to enhance employee and participant satisfaction.Participates in monthly manager meetings, monthly operations meeting and other meetings as directed. Conduct department meetings as needed. Share information with support staff, providers, administration and other staff as needed.Assists with the development, implementation and monitoring of policies and procedures related to referrals for external or internal operations.Manage daily operations and oversee the department's work plan, ensuring compliance with regulations, policies, and performance standards.Manages/Monitors productivity, quality metrics for the department and works with department on needed improvements.Provides updates and insight on analysis, and reporting of the department on a monthly basis or as directed by Leadership.Works on continuous quality improvement for department; this includes responding to participant /provider/staff feedback.Contacts Providers or appropriate staff as necessary to maintain complete and accurate Participant Records.Integrate referral and medical record management with ongoing medical and case management activities.Attends and actively participates in required meetings and committees as requested.Works with HR in recruitment of staff, orientation, training, coaching, and skills development.Holds knowledge and acts as a resource to all staff regarding policies, procedures, and regulations related to the Participant Navigation Center.Provides staff coverage as needed.Other duties as assigned.Supervision
Completes performance evaluations for direct reports.Makes recommendations to Human Resources regarding new hires, transfers, suspensions, promotions, discharge, assignments, rewards or discipline.evaluate staff performance against job description criteria with input from Site Managers, Providers and other staff, and provides guidance and coaching to develop an individual as well as department to highest potentialAssist and conduct department meetings to promote communication, assess and resolve needs and foster teamworkWork collaboratively with Human Resources to provide appropriate and timely follow-up on employee relations issues that require coaching and/or discipline.Keep staff informed of organizational activities and promote Neighborhood Healthcare mission and goals.Customer Relations
Respond promptly and with caring actions to participants and employees. Acknowledge psychosocial, spiritual and cultural beliefs and honor these beliefs.Maintain professional working relationships with all levels of staff, clients and the public.Be part of a team and cooperate in accomplishing department goals and objectivesEDUCATION/EXPERIENCE
High school/GED, required. Bachelor’s degree, preferred.Minimum of 2 years in medical management for managed care, including claims, referral authorization, and/or front/back-office duties requiredValid BLS certification in accordance with the American Heart Association Guidelines required upon hireMinimum of two years’ experience in supervisor or management position in healthcare or related field preferred.Experience working collaboratively with some and/or all the following disciplines: nursing, social work, psychology, recreation, occupational therapy, physical therapy, speech therapy, dietetics, and/or gerontology preferred.Bilingual: English/Spanish preferred.ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)
Emotional intelligence (EI), the ability to be sensitive to and understand the emotions of others and to manage his or her own emotions and impulses required.Effective verbal and written communication, organization and interpersonal skills.Ability to interface with all levels of personnel in a professional manner.Ability to work with people of all social and ethnic backgrounds and maintain confidentiality.Ability to work independently and as part of a team. Able to assume leadership role in a health care organization.Able to train and develop staff.Ability to interpret a variety of instructions in written, oral, diagram, or schedule formAbility to successfully manage multiple tasks simultaneouslyExcellent planning and organizational abilityAbility to work as part of a team as well as independentlyAbility to work with highly confidential information in a professional and ethical mannerPhysical Requirements
Ability to lift/carry
50 lbs. /weightAbility to stand for long periods of timeCOMPLIANCE (Safety & HIPPA)
Follows all safety procedures as outlined in Neighborhood Healthcare’s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediatelyMaintains current knowledge of policies and procedures as they relate to safe work practicesFollows all safety procedures and report unsafe conditionsUses appropriate body mechanics to ensure an injury free environmentFamiliarity with location of nearest fire extinguisher and emergency exitsFollows all infection control procedures including blood-borne pathogen protocolsMaintains privacy of all patients, employee and volunteer information and access such information only on a need-to-know basis for business purposesComplies with all regulations regarding corporate integrity and security obligationsReports all behavior and/or activity that are unethical, fraudulent, or unlawful
Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!
Pay range: $79,800.00 - $111,300.00 annually, depending on experience, education and additional requirements.