Job Application - Catholic Charities Steuben/Livingston

Job Posting OPEN

Clinical Supervisor Medicaid Managed Care Liaison

We are Hiring! $2,500 Sign on bonus 

Catholic Charities of Steuben/Livingston is growing and seeking a Clinical Supervisor-Medicaid Managed Care Liaison to join our Team.  

If you're looking for an opportunity to express and explore your passion for helping others, then join a team that truly makes a difference DAILY, in people's lives. We are looking for empathetic, thoughtful candidates who have enthusiasm for helping people. We have supportive leadership who invest in our people and provide opportunities for employees to thrive, grow and learn. Don't miss out on being a part of something special!  

 

Position Title:  Clinical Supervisor-Medicaid Managed Care Liaison 

Salary: $65 to $75K depending on years of experience/education level.  

Schedule: Full time 

 

PRIMARY FUNCTIONS: 

The Clinical Supervisor/ Medicaid Managed Care Liaison is responsible for the day-to-day management and administration of the agency’s foster care services, the coordination of all health-related services to children in the care of the agency’s foster care program, and the coordination of all Medicaid-related services to children in the care of the agency’s foster care program.  Such services are to be provided in compliance with all rules and regulations of the New York State Office of Children and Family Services and Medicaid program. 

 

SPECIFIC DUTIES: 

    • Coordinates all activities with regard to the day-to-day administration of Medicaid related Services and non-Medicaid related services within the Therapeutic Foster Care Program 
    • Formulates and presents monthly information and program statistical data, providing interpretation of the data as requested in matters related to the activities for which he/she is responsible. 
    • Meets monthly with contract agency representatives to assure administration compliance with contractual provisions, review agency relations, resolve presenting problems, and to discuss program planning. 
    • Works with treatment providers to establish treatment goals. 
    • Serves as contract coordinator with all foster care health care providers and funders. 
    • Assists the Finance Office in resolution of billing issues with county Departments of Social Services and foster care health care providers, and MCOs. 
    • Responsible for the recruitment, orientation, training, direct supervision and evaluation of therapeutic foster care supervisor, skill building clinician and home Finder.  
    • Reviews all health care information and records. 
    • Provides emergency behavioral consultation services. 
    • Assures the quality and method of supervisory practice in order to assure consistency and conformity with agency standards for supervisor practices throughout the Therapeutic Foster Care Program. 
    • Serves as contract coordinator with all foster care Medicaid providers. 
    • Coordinates with MMCPs, LDSS, and MCOs, including any provider changes. 
    • Responsible for oversight of all business functions regarding the Article 29-I Health Facilities License. 
    • Serves as the primary contact for MMCP’s and assists with placement changes. 
    • Maintains eligibility for public or private health insurance. 
    • Coordinates benefits. 
    • Assists with consent and/or confidentiality issues. 
    • Assures the coordination of foster care Medicaid services with other services within the agency in a manner that assures that those served have appropriate access. 
    • Is readily available via telephone and email to LDSS and the agency during regular business hours to address any issues for managed care enrollees. 
    • Reports all “Critical Incidents” to the Chief Operating Director, Compliance Officer, And Executive Director as needed.  
    • Assures program compliance with Adoption and Safe Families Act (ASFA) guidelines. 

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    • Works with finance team to develop annual foster care budget recommendations for inclusion in the agency’s annual operating budget, in accordance with the approved budget calendar. 
    • Operates within the Therapeutic Foster Care budget plan. 
    • Formulates written annual program operational plan that includes program goals, performance objectives and action plans. 
    • Coordinates a policy and regulatory review process that assures the Therapeutic Foster Care Program operates in compliance with current regulatory and established program guidelines, recommending any changes in policies and procedures as needed. 
    • Assures that foster care program maintains current procedural manuals making changes as needed. 
    • Responsible for ensuring foster care certifications and other credentialing requirements are up to date. 
    • Coordinates an annual plan with the Foster Home Finder for the recruitment and certification of qualified therapeutic foster homes, to assure that the agency as a sufficient number of quality therapeutic foster homes available to meet local need. 
    • Promotes community understanding of the agency and its services through agency representation at inter-agency conferences, membership on committees, and contributions to the agency’s newsletter. 
    • Acts as Emergency back-up to all program staff during their on-call rotation. 
    • Exhibits flexibility to meet the needs of the program. 
    • Conduct quality oversight and improvement services. 
    • Advises LDSS regarding medical needs of youth in care. 
    • Meet & communicate with birth families, guardians, foster families, and caseworkers as needed. 
    • Provides and documents clinical supervision in accordance with practitioner scope of practice and in compliance with laws and regulations. 
    • Responsible for any other duties necessary for the TFC Program within their abilities as assigned. 

TITLE OF DIRECT SUPERVISOR: Chief Operating Director 

 

QUALIFICATIONS: 

A licensed behavioral health practitioner (MSW, family/marriage therapist, or MH counselor) required, or equivalent qualifications with a minimum of five years’ experience in human services. Knowledge of the Medicaid Managed Care policies and operations. 1-3 years of supervisory experience preferred. Experience in Child Welfare preferred. 

 

ADDITIONAL REQUIREMENTS: 

    • Extensive travel within a six-county area. 
    • Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CCDR’s corporate compliance and ethics program. 
    • Possess excellent verbal and written communication skills. 
    • Ability to multi-task and prioritize duties. 
    • Willingness to foster agency, department and program wide cooperation and teamwork through use of positive/constructive communication techniques. 
    • Ability to maintain absolute confidentiality in regard to all records reviewed including consumer records, employee records and billing records. 
    • Proficiency and experience with PC’s and Microsoft applications. 
    • Ability to analyze and interpret data and to handle problem resolution. 

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    • Possession of a valid NYS Driver’s license and a driver's record considered acceptable by agency and insurance carrier. 
    • Continuous use of a reliable, registered and insured vehicle. 
    • Demonstrate commitment to Agency Mission Statement. 
    • Provide effective, equitable, understandable and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy and other communication needs. 

Ability to meet the following physical requirements with or without reasonable accommodation: 

    • Use hands to manipulate, handle, feel, and control items or equipment, including motor vehicles. 
    • Stand, sit, walk, bend, stoop, kneel, and reach. 
    • Climb up or down stairs. 
    • Able to reach above or below shoulders. 
    • Occasionally lift or move objects weighing up to 10 lbs. 
    • Sitting at a desk or in a vehicle for long periods of time to perform certain job functions. 
    • Be able to read, write and interpret written documents. 

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What you will get: 

Catholic Charities of Steuben/Livingston offers a well-rounded and comprehensive benefits program. 

  • Salary: $65 to $75K depending on years of experience/education level. 

  • Full-time, exempt position. We believe in work-life balance! 

  • Paid Time Off, 10 days to start, 15 days after 1st Anniversary. 

  • Holidays 12-14 paid holidays 

  • Medical Insurance 

  • Dental Insurance 

  • Vision Insurance 

  • Life Insurance 

  • Short-Term Disability 

  • Long-Term Disability 

  • Critical Illness Insurance 

  • Supplemental Insurance 

  • Flexible Spending Account 

  • Health Savings Account 

  • Legal Plan 

  • Identity Plan 

  • Employee Assistance Program 

  • 6% Pension 

  • Employee 401(k) 

  • My Better Benefits – provides discounts and savings on thousands of products and services. 

Our hiring process and timeline: 

  • Applications will be reviewed regularly until the position is filled. 

  • Phone screenings will be conducted with qualified candidates. 

  • In-person one-hour interviews will be conducted with candidates who advance after the phone screening 

  • In-person interviews are typically with 2-4 Interviewers 

***Catholic Charities is committed to leveraging the talent of a diverse workforce to create great opportunities for our agencies and our people. EOE/AA Disability/Vet