HealthCare Talent
Director of PACE and Senior Services
HealthCare Talent, Seattle, Washington, us, 98127
HealthCare Talent is now a division of Cross Country Healthcare.
Bridging the gap between your dreams and your current healthcare position.
Job Industry:
Healthcare - Health Services DIRECTOR OF PACE & SENIOR SERVICES
If you have a passion for serving the underserved seniors, join the "Program of All-Inclusive Care for the Elderly"! Seattle, WA FULL TIME/DIRECT HIRE:
Not a temp job or contract assignment HYBRID-REMOTE:
Work 4 days onsite and 1 day remotely each week SCHEDULE:
Mon-Fri; 8am-5pm SALARY RANGE:
$107k - $157k DOE BENEFITS:
Medical, Dental, Vision, Life, AD&D, Disability, FSA, Commuter Benefits, EAP, 403b with employer contribution, 9 PAID Holidays (including 2 personal), plus PAID TIME OFF (PTO) between 17-25 days per year! MUST MEET ALL QUALIFICATIONS TO APPLY EDUCATION: A baccalaureate degree in health care administration, business administration, nursing, public health, social work, or a related human services field is required. A master’s Degree in these fields is preferred. EXPERIENCE: At least three (3) years of experience as a
manager, director or administrator
in a human and/or health care services operation serving the aging population. Strongly prefer leadership experience at a
PACE
program. KNOWLEDGE: Current concepts and practices of health and social services for the elderly, particularly in assisted living, in-home and community-based services, and the interdisciplinary team model. The managed care environment includes claims management, management of statistical and medical indicators, and managed care utilization trends and implications for the PACE program. Healthcare delivery and financing systems, including Medicaid, Medicare, waiver programs, prospective payment systems, and Health Management Organizations. Identified county healthcare and related networks. Utilization management, quality improvement, managed care health care concepts, marketing, and program development. Budgeting process. Management information systems, including fiscal management issues. JOB SUMMARY: The
Director of PACE & Senior Services
will be responsible for the leadership, development, and administration of the
Healthy Aging and Wellness Program
which involves leading the programs of Program of All-Inclusive Care for the Elderly (PACE), Assisted Living, Adult Day Health, and Congregate Meal Program services. Duties include ensuring the financial viability of all programs and the continued growth of the PACE program. Responsibilities include managing all business, partner, Local, State, and Federal government and community relationships. JOB DUTIES: Oversees the Healthy Aging and Wellness Program. Successfully leads and manages the Centers for Medicare and Medicaid Services (CMS) Program of All-Inclusive Care for the Elderly (PACE), PACE Third Party Administrator (TPA), and PACE Pharmacy Benefit Manager (PBM) in partnership with the Finance Department. Ability to obtain HPMS access and reporting. Initiates and maintains a relationship with PACE, Assisted Living and Adult Day Health State Agency Administrators, National Pace Association, national, state, and local partners. Initiates and maintains a relationship with CMS Regional office. Oversees PACE Technical Consultant through the PACE application process. Collaborates with PACE Technical Consultant to develop operational workflow. Oversees operational policy and procedure development and management, such as infection control and emergency preparedness. Recommends and implements the Healthy Aging and Wellness Program operational policies, procedures, and protocols for direct participant care and support services. Initiates and oversees procurement of CLIA (Clinical Laboratory Improvement Amendments) license and other necessary licenses to operate Assisted Living, Adult Day Care/Health, Congregate Meal Program and PACE. Develops PACE provider and vendor network. Collaborates with marketing to develop materials and presentations. Represents PACE on the Utilization Management/Resource Management Committee; assists in managing and leading the committee when the COO is unavailable. Collaborates with Human Resources for hiring and performance of staff. Develop equipment list (Clinic, OT, PT, Day Center, Recreation, Furniture) and set up inventory control system – purchase all necessary equipment before operations. Develops and provides orientation, onboarding, and training for staff and contractors based on CMS guidelines and regulations. Oversees tenant improvement and ensures readiness of facility for PACE Readiness Review. Directs, supervises, and evaluates the performance of the Staff Accountant, Medical Director, Marketing Director, Homecare Coordinator, Transportation Coordinator, Quality Assurance Director, Center Director, Executive Assistant, and Human Resources Manager. Ensures that job responsibilities, authorities, and accountability of all direct reports are defined and understood. Maintains compliance with all State and Federal program requirements, obtains and maintains certification under CMS as well as other State or Federal laws or rules pertaining to PACE, Assisted Living, Adult Day Health, and Congregate Meal Program in collaboration with the Medical Director, Center Manager, and Quality Assurance Manager. Monitors medical and specialty services utilization to ensure the provision of quality care to participants in collaboration with the Medical Director, Center Manager, and Quality Assurance Manager. Oversees the financial accountability of the Healthy Aging and Wellness Program and develops and monitors the Healthy Aging and Wellness Program’s annual operating and capital budgets and projected financial benchmarks. Plans for and administers the managerial, operational, fiscal, and reporting components of the Healthy Aging and Wellness Program. Monitors the growth of care delivery and services as the participant census grows and makes adjustments in planning as needed to maintain established growth and service goals. Meets program goals for target enrollment. Oversees and participates in the quality assurance/quality improvement committees as part of the overall quality improvement program. Establishes positive working relationships with providers and the community at large. Oversees operational compliance with Occupational Safety and Health Administration (OSHA) regulations and agency policies and procedures, ensuring a safe and clean environment for staff and program participants. Protects privacy and maintains confidentiality of all company procedures and information about employees, participants, and families. Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications. Provides evening and weekend on-call administrative coverage on a rotational basis. To take the next step, please APPLY HERE and TEXT (949)874-2697 to schedule an interview to discuss the opportunity in more detail!
#J-18808-Ljbffr
Job Industry:
Healthcare - Health Services DIRECTOR OF PACE & SENIOR SERVICES
If you have a passion for serving the underserved seniors, join the "Program of All-Inclusive Care for the Elderly"! Seattle, WA FULL TIME/DIRECT HIRE:
Not a temp job or contract assignment HYBRID-REMOTE:
Work 4 days onsite and 1 day remotely each week SCHEDULE:
Mon-Fri; 8am-5pm SALARY RANGE:
$107k - $157k DOE BENEFITS:
Medical, Dental, Vision, Life, AD&D, Disability, FSA, Commuter Benefits, EAP, 403b with employer contribution, 9 PAID Holidays (including 2 personal), plus PAID TIME OFF (PTO) between 17-25 days per year! MUST MEET ALL QUALIFICATIONS TO APPLY EDUCATION: A baccalaureate degree in health care administration, business administration, nursing, public health, social work, or a related human services field is required. A master’s Degree in these fields is preferred. EXPERIENCE: At least three (3) years of experience as a
manager, director or administrator
in a human and/or health care services operation serving the aging population. Strongly prefer leadership experience at a
PACE
program. KNOWLEDGE: Current concepts and practices of health and social services for the elderly, particularly in assisted living, in-home and community-based services, and the interdisciplinary team model. The managed care environment includes claims management, management of statistical and medical indicators, and managed care utilization trends and implications for the PACE program. Healthcare delivery and financing systems, including Medicaid, Medicare, waiver programs, prospective payment systems, and Health Management Organizations. Identified county healthcare and related networks. Utilization management, quality improvement, managed care health care concepts, marketing, and program development. Budgeting process. Management information systems, including fiscal management issues. JOB SUMMARY: The
Director of PACE & Senior Services
will be responsible for the leadership, development, and administration of the
Healthy Aging and Wellness Program
which involves leading the programs of Program of All-Inclusive Care for the Elderly (PACE), Assisted Living, Adult Day Health, and Congregate Meal Program services. Duties include ensuring the financial viability of all programs and the continued growth of the PACE program. Responsibilities include managing all business, partner, Local, State, and Federal government and community relationships. JOB DUTIES: Oversees the Healthy Aging and Wellness Program. Successfully leads and manages the Centers for Medicare and Medicaid Services (CMS) Program of All-Inclusive Care for the Elderly (PACE), PACE Third Party Administrator (TPA), and PACE Pharmacy Benefit Manager (PBM) in partnership with the Finance Department. Ability to obtain HPMS access and reporting. Initiates and maintains a relationship with PACE, Assisted Living and Adult Day Health State Agency Administrators, National Pace Association, national, state, and local partners. Initiates and maintains a relationship with CMS Regional office. Oversees PACE Technical Consultant through the PACE application process. Collaborates with PACE Technical Consultant to develop operational workflow. Oversees operational policy and procedure development and management, such as infection control and emergency preparedness. Recommends and implements the Healthy Aging and Wellness Program operational policies, procedures, and protocols for direct participant care and support services. Initiates and oversees procurement of CLIA (Clinical Laboratory Improvement Amendments) license and other necessary licenses to operate Assisted Living, Adult Day Care/Health, Congregate Meal Program and PACE. Develops PACE provider and vendor network. Collaborates with marketing to develop materials and presentations. Represents PACE on the Utilization Management/Resource Management Committee; assists in managing and leading the committee when the COO is unavailable. Collaborates with Human Resources for hiring and performance of staff. Develop equipment list (Clinic, OT, PT, Day Center, Recreation, Furniture) and set up inventory control system – purchase all necessary equipment before operations. Develops and provides orientation, onboarding, and training for staff and contractors based on CMS guidelines and regulations. Oversees tenant improvement and ensures readiness of facility for PACE Readiness Review. Directs, supervises, and evaluates the performance of the Staff Accountant, Medical Director, Marketing Director, Homecare Coordinator, Transportation Coordinator, Quality Assurance Director, Center Director, Executive Assistant, and Human Resources Manager. Ensures that job responsibilities, authorities, and accountability of all direct reports are defined and understood. Maintains compliance with all State and Federal program requirements, obtains and maintains certification under CMS as well as other State or Federal laws or rules pertaining to PACE, Assisted Living, Adult Day Health, and Congregate Meal Program in collaboration with the Medical Director, Center Manager, and Quality Assurance Manager. Monitors medical and specialty services utilization to ensure the provision of quality care to participants in collaboration with the Medical Director, Center Manager, and Quality Assurance Manager. Oversees the financial accountability of the Healthy Aging and Wellness Program and develops and monitors the Healthy Aging and Wellness Program’s annual operating and capital budgets and projected financial benchmarks. Plans for and administers the managerial, operational, fiscal, and reporting components of the Healthy Aging and Wellness Program. Monitors the growth of care delivery and services as the participant census grows and makes adjustments in planning as needed to maintain established growth and service goals. Meets program goals for target enrollment. Oversees and participates in the quality assurance/quality improvement committees as part of the overall quality improvement program. Establishes positive working relationships with providers and the community at large. Oversees operational compliance with Occupational Safety and Health Administration (OSHA) regulations and agency policies and procedures, ensuring a safe and clean environment for staff and program participants. Protects privacy and maintains confidentiality of all company procedures and information about employees, participants, and families. Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications. Provides evening and weekend on-call administrative coverage on a rotational basis. To take the next step, please APPLY HERE and TEXT (949)874-2697 to schedule an interview to discuss the opportunity in more detail!
#J-18808-Ljbffr