Directs, plans, organizes and evaluates the staff and activities of Health Solution Programs including, but not limited to, administrative operations, implementation and financial performance of risk-based/alternative reimbursement programs. Serves as a resource to the care management and health system leadership teams regarding specific program performance, status and areas for improvement. Implements strategies and goals across the health system in collaboration with all system hospitals… Show more Directs, plans, organizes and evaluates the staff and activities of Health Solution Programs including, but not limited to, administrative operations, implementation and financial performance of risk-based/alternative reimbursement programs. Serves as a resource to the care management and health system leadership teams regarding specific program performance, status and areas for improvement. Implements strategies and goals across the health system in collaboration with all system hospitals, Medical Group and IPA primary care practices, and community-based organizations. 1. Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action. • Implements and evaluates programmatic business measures and strategies focused on optimizing outcomes and financial performance. • Designs, tracks and reports status of program implementation and performance across assigned programs to ensure timely completion of program deliverables. 2. Develops and oversees financial management including budget, salary, capital, and revenue projections. • Develops metrics, processes and reports to track and report on financials, outcomes and service levels by program. 3. Oversees the development, coordination, integration, communication, implementation, and performance evaluation of operating policies and procedures. 4. Selects, develops, manages and evaluates direct reports. 5. Builds and maintains productive inter/intra departmental and customer/vendor work relationships to optimize operations. • Establishes leadership-level relationships throughout the care delivery system including Sites and Corporate departments including Clinicians and Case Management teams. 6. Oversees compliance with government and agency regulations. 7. Ensures adequate scheduling and assigns responsibilities to ensure an equitable distribution of work. Show less

Oversees the implementation and managing of effective processes to achieve goals of the organization relating to performance for multiple functional areas. Drives or guides development of holistic solutions and/or key strategic plans. Proactively identifies opportunities for improvement and influences business leader(s) including the most senior level, to implement recommendations through complex negotiations and/or expert consultation that promote issue resolution. Provide direction setting… Show more Oversees the implementation and managing of effective processes to achieve goals of the organization relating to performance for multiple functional areas. Drives or guides development of holistic solutions and/or key strategic plans. Proactively identifies opportunities for improvement and influences business leader(s) including the most senior level, to implement recommendations through complex negotiations and/or expert consultation that promote issue resolution. Provide direction setting and leadership, with accountability for quality program(s), specialized audits, special reviews, projects and initiatives. Manage complex projects, people, and business priorities to achieve customer satisfaction. Drive compliance, legislative, and regulatory issues to resolution. Monitor and manage compliance risks on business processes, systems and products. Influences all stakeholders to support key quality projects/programs to ensure positive solutions that deliver results. Consults with internal/external customers on solutions that impact Quality. Provides input on business plan to achieve business goals. Identifies gaps and influences change/enhancements to business processes, policies, workflows, and system infrastructure in order to improve performance results, organization effectiveness and/or systems/quality/services based on broad view of the organization. Analyzes and forecasts key financial drivers and make recommendations for adjustments to budgets and business plans. Show less

Clinical DirectorResponsible for all case management activities, Leads Assistant Directors and Unit Supervisors in meeting program goals. Provide clinical oversight for all behavioral and physical health services. Responsible to oversee all performance improvement initiatives that support quality patient outcomes. Responsible for the oversight of all DSRIP projects including Care Transitions, practice based Health Coaches and Pediatric Asthma Community Health Workers. Responsible for the… Show more Clinical DirectorResponsible for all case management activities, Leads Assistant Directors and Unit Supervisors in meeting program goals. Provide clinical oversight for all behavioral and physical health services. Responsible to oversee all performance improvement initiatives that support quality patient outcomes. Responsible for the oversight of all DSRIP projects including Care Transitions, practice based Health Coaches and Pediatric Asthma Community Health Workers. Responsible for the development and implementation of all health related trainings for Health Home and DSRIP initiatives. Responsible for developing strategic relationships with the Lead Health Care Systems, Managed Care Organizations and other community based organizations in order to grow the program census and better position the organization for future endeavors. Show less

Ensure that various levels of nursing and non-nursing staff obtain the necessary training in order to meet all job requirements and comply with regulatory standards. Work closely with management teams to assess learning needs and utilize adult learning principles to implement effective educational programs. Conduct performance evaluations to determine the effectiveness of nursing and other professional practices. Collaboratively worked with Health Plan Leadership to develop Disease Management… Show more Ensure that various levels of nursing and non-nursing staff obtain the necessary training in order to meet all job requirements and comply with regulatory standards. Work closely with management teams to assess learning needs and utilize adult learning principles to implement effective educational programs. Conduct performance evaluations to determine the effectiveness of nursing and other professional practices. Collaboratively worked with Health Plan Leadership to develop Disease Management protocols and case management (KPI) key performance indicators. Key contributor in the development and implementation of a comprehensive patient centered care plan. Show less

Trained, mentored, and managed a team of skilled nurses in the delivery and coordination of comprehensive home and community-based long term care services. Adhered to standards, procedures, and clinical practices to ensure consistent compliance with regulations. Coordinated with external resources and collaborated with clinical executives, managers, and consultants to develop educational modules and policies. Assessed organizational requirements and implemented strategies to allocate… Show more Trained, mentored, and managed a team of skilled nurses in the delivery and coordination of comprehensive home and community-based long term care services. Adhered to standards, procedures, and clinical practices to ensure consistent compliance with regulations. Coordinated with external resources and collaborated with clinical executives, managers, and consultants to develop educational modules and policies. Assessed organizational requirements and implemented strategies to allocate resources and streamlining workflows. Recognized for outstanding performance and presented with the 2013 VNSNY ESPRIT Award. Show less

Provided intensive and continuous care management across acute, home, and long-term care settings. Developed and negotiated a patient-centered plan of care and implemented various interventional standards to meet healthcare objectives. Communicated and collaborated with interdisciplinary staff, other healthcare providers, family member, and diverse groups of patients. Ensured the optimum coordination and delivery of services.

Provided quality care for patients in the ambulatory, oncology, gynecology, and medical-surgical units. Interacted extensively with healthcare team members and physicians to coordinate treatment plans and ensure the continuity of care. Performed a variety of clinical procedures and helped improve departmental performance.