NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position: Community Care is a Division of the health system that delivers home- and community-based services to patients referred from across the health system’s entire care continuum, a subsidiary health plan (MetroPlus Health), and a subsidiary Accountable Care Organization. The administrator will lead the delivery of interdisciplinary home- and community-based services including home health services under the auspices of the Certified Home Health Agency (CHHA). The incumbent will lead the organization and direction of the ongoing functions of the CHHAs parent and branch locations, and will assume full-time administrative authority, responsibility and accountability for day-to-day operations and financial viability of the CHHA. The incumbent will also lead nursing related functions across Community Care. Essential Duties and Responsibilities: 1.Implements directives of the Chief Executive Officer or designee, reviews and evaluates existing programs, participates in the development and maintenance of programs, and makes recommendations for improvement, modification and provision of general administrative and support services. 2.Audits existing programs and health care setting operations and applies approved criteria for evaluating programs and operational activities. 3.Participates in the preparation of expense and capital budgets covering all categories for short and long-range planning and operations. 4.Participates in and assists with the review and monitoring of the offices program budget for conformity to policies and program guidelines and assists in the development and preparation of its budget. 5. Reviews and recommends proposals for alterations of health care settings and acquisition and replacement of equipment. 6.Assists in the preparation of policies and procedures and provides guidance and council to departmental leaders on the development of health care setting programs. 7. Meets with departmental leaders to coordinate activities and represents superiors, as necessary. 8. Reviews preparation of periodic reports and directs special studies, reports activities and makes recommendations for implementation. 9. Recommends approval or disapproval of employee requests, in accordance with System personnel administrative policies and procedures. 10. Represents superiors in the development of cooperative relationships with community groups and agencies. 11. Assists in the development and operational planning of new programs, from analysis to implementation, and undertakes research and studies on selected administration and operations problems. 12. Performs other related duties, as directed. Minimum Qualifications 1. Master’s degree from an accredited college or university in Hospital or Health Care Administration, Public Health or a related discipline and five (5) years of high-level responsible experience in Hospital, Business, or Public Administration or a Health Care Administrator in a position of direct responsibility for operations of a major part or all of a, health care setting, including substantial exposure in meeting community health needs; or 2. Bachelor’s degree from an accredited college or university in disciplines, as listed in “1” above; and six (6)years of high-level experience in areas as described in “1” above. QUALIFICATIONS FOR THE JOB: CERTIFICATION(S)/LICENSE(S) ** Valid New York State license and current registration to practice as a Registered Professional Nurse (RN) issued by the New York State Education Department (NYSED) Department Preferences 1. Leadership • Demonstrates dependability through regular, predictable attendance and availability. Provides timely and effective feedback to senior and executive leadership and management. • Partners with the System Office of Patient Centered Care to affect nursing training and development, engagement, recognition, and appreciation; recruitment and retention; and governance. Maintains a dotted line reporting to the System Chief Nurse Executive. • Keeps abreast of industry trends and regulatory requirements through activities such as participating in State Associations and professional memberships, attending trainings, and reviewing industry publications. • Develops, plans, implements, and evaluates short and long-range strategies, plans, goals, and objectives for the operational and clinical function of the CHHA. Develops and implements tactics to effectively manage growth, cost of care, and improve quality of care across all programs and service lines. • Leads collaborative engagements and business development activities with health system stakeholders across the care continuum including ambulatory, emergency, inpatient, post-acute care and MetroPlus Health and Healthfirst health plans. • Provides key updates and direction to staff through general meetings, daily huddles, outlining clear expectations and accountabilities, daily, weekly, monthly, quarterly, and annually. Supports change and speaks positively about it with staff. • Makes timely, well-informed, and appropriate decisions by examining all the relevant and available facts; consulting relevant subject matter experts; exploring alternatives; and committing to an action plan. • Prepares leadership and managerial presentations and reports according to required timelines. Performs operational duties deemed appropriate by the management team. 2. Strategy and Operations • Leads and directs the overall development and operational management of the functional areas of the CHHA. • Determines appropriate staffing levels and resource needs that are integral to the operations and growth of the CHHA. Oversees staff productivity through appropriate scheduling while being aware of the impact of scheduling decisions on expenditures and revenue generation. • Maintains mid- to high-energy pace and resourcefulness in solving operational challenges. Prioritizes the workload and shifting priorities to accommodate change and demand. • Recommends, develops, and implements clinical, administrative, and operational policies and procedures to support effective and efficient operations. Conducts policy reviews and revisions as needed to establish and support the highest possible quality of care delivery. • Builds and maintains high-performing teams. Identifies, and supervises that fosters a supportive work culture and environment; ensures employees receive appropriate supervision, communication, recognition and development. Conducts performance reviews in accordance with established policies and procedures. • Responds to on-call evening and weekend demands and escalations as needed. Maintains on-call materials current with coverage staff; emergency contact information for referral sources; instructions for escalation of issues; current census; and list of active staff. Ensures the maintenance of the on-call coverage log and records for staff, patients, and referral sources. 3. Financial Management • Projects budgets; allocates resources; and approves expenditures. Able to review, interpret and respond to cost versus revenue reports/charts/graphs/ dashboards, such as annual budget, expenses, revenue, profitability, billable hours, bill rates, pay rates, etc. • Oversees the revenue cycle function end-to-end in accordance including order tracking, authorization, scheduling, billing, denials management and accounts receivable. Support payer contract negotiations as needed and escalate payment issues promptly. 4. Care Experience • Ensures self and staff upholds the standards of ‘best in class’ customer service through consistent delivery of high-quality care delivery and customer service. Maintains positive and productive relationships with patients, caregivers, staff, and stakeholders, including referral sources. • Prioritizes and supports patient and staff safety through the provision of training and resources. Embraces and promotes a just culture approach to addressing issues staff and patient safety issues/concerns. 5. Quality Assurance and Performance Improvement • Analyzes and utilizes information and data to guide the development and implementation of health care interventions that improve value to a health plan member and payers; • Ensures staff access to current clinical information, best practices, and training and development, and resources to support the delivery of comprehensive and high-quality care. Collaborate with Human Resources to support the development of an annual staff training plan. 6. Regulatory and Compliance • Ensures regulatory standards and compliance. Maintains absolute privacy, confidentiality and security of all information pertaining to employees and patients. Adheres to health system and Community Care policies and procedures, HIPAA/ Privacy Program, Compliance Program, Code of Conduct and Ethics, and Conflict of Interest. • Ensures all programs and services meet federal, state, local and health system regulations, accreditation standards, quality metrics, business requirements, and evolving models of care (e.g., accountable care organizations, patient centered medical homes). • Collaborates with the Compliance Officer in identifying and addressing regulatory issues that may impact the CHHA including but not limited to the proactive identification of compliance risks, development of Community Care’s annual compliance work plan, and responding to operational and billing audits. 7. Assures that all business conduct is above minimum standards required by law and does not condone any activity that achieves results through violation of the law, unethical business, or patient care practices. 8. Any other duties as assigned by manager. KNOWLEDGEABLE IN: Thorough knowledge of the fundamentals of CHHA administration and standards, regulations, and laws applicable to CHHA operations, knowledge of business and human resources administration principles, management functions, management processes, and ability to direct and supervise personnel. Demonstrated knowledge regarding federal (Centers for Medicare & Medicaid Services), state (New York State Department of Health), and local (New York City Department of Health & Mental Hygiene) regulations and JCAHO standards for home health provider. YEARS OF EXPERIENCE: Six years of progressive responsibility in a CHHA or a combination of CHHA and hospital administration, business administration, public administration, or an equivalent field; including substantial exposure to meeting health needs in home-and community-based settings. COMPUTER PROGRAMS/SOFTWARE OPERATED EPIC H2O Hyperspace EPIC H2O Remote Client Microsoft Office (Word, Excel, PowerPoint, Project, Visio, OneNote) Benefits NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs