Associate Director Nursing (SNF)

About This Role

The Associate Director of Nursing at NYC Health + Hospitals/Coler will leverage clinical expertise and managed care experience to oversee managed care contracts, ensuring effective care coordination and optimal financial performance.

Highlights

• Pay : $151,000 - $160,000/year
• Location : New York, NY
• Facility : NYC Health + Hospitals/Coler
• Department/Unit : CASE MANAGEMENT
• Schedule : Full-Time, Day (9:00 A.M - 5:00 P.M)

What You'll Do

• Support escalations to Central Corporate Managed Care regarding issues with MCOs.
• Facilitate seamless care coordination between facilities, MCOs, and other healthcare providers.
• Prepare for contract negotiations with MCOs in collaboration with the Central Office Managed Care Team.
• Monitor and evaluate facility performance against contractual obligations.
• Conduct and summarize concurrent and retrospective reviews of resident/patient care authorizations.
• Analyze and report on denial trends, identifying key issues and effectiveness of the appeals process.
• Implement quality improvement initiatives based on performance data and feedback from MCOs.
• Prepare comprehensive analyses of MCO payments, identifying trends and areas for improvement.
• Monitor contract performance, including payment accuracy and compliance with contract terms.
• Ensure all managed care contracts comply with state and federal regulations.

Requirements

Education

• Master's Degree in Nursing Administration or a related nursing discipline required; Bachelor's Degree in Nursing also acceptable.

Experience

• Three (3) years of satisfactory nursing experience, two (2) years in a responsible administrative or supervisory capacity required.

Licenses & Certifications

• Valid New York State license and current registration to practice as a Registered Professional Nurse in New York State.
• Basic Life Support (BLS) may be required depending on assignment.

Benefits

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation
• 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

About NYC Health and Hospitals

NYC Health + Hospitals is a leading healthcare provider committed to delivering exceptional patient care. They operate a network of facilities, including NYC Health + Hospitals/Coler, which is a certified 815-bed nursing facility with a 5-Star CMS Quality Rating.