Job Summary
Provides operational support and day‑to‑day coordination of rehabilitation services to ensure effective, compliant, and high‑quality care delivery. Executes established program standards, supports utilization and clinical processes, and partners with internal teams and external providers to address service delivery needs. Collaborates with the Rehabilitation Director and VP to implement program initiatives, monitor performance, and ensure consistent application of rehabilitation practices.
Essential Functions
- Supports the implementation and day‑to‑day execution of rehabilitation program activities and workflows.
- Assists in operational planning, coordination, and monitoring of program performance.
- Applies established policies, procedures, and clinical guidelines in daily operations.
- Identifies operational issues and escalates appropriately.
- Coordinates rehabilitation services to ensure timely, appropriate, and effective care delivery.
- Supports interdisciplinary care team discussions and addresses service‑related issues.
- Assists in evaluating member needs, including coordination for long‑term care settings.
- Supports utilization review activities to ensure services are appropriate and aligned with program standards.
- Monitors documentation for completeness and alignment with regulatory and reimbursement requirements.
- Identifies documentation or utilization issues and partners with leadership for resolution.
- Supports quality assurance and performance improvement activities.
- Ensures adherence to established regulatory, accreditation, and organizational requirements.
- Assists with audit preparation and data gathering for regulatory reviews.
- Coordinates with contracted providers and vendors to support service delivery and resolve issues.
- Partners with internal teams (e.g., DME, care management) to address member care needs.
- Communicates effectively with providers, members, and internal stakeholders.
- Performs any other job‑related duties as requested.
Education and Experience
- Bachelor's degree required; Master’s or Doctorate preferred.
- Three (3) years experience in rehabilitation services or clinical operations required.
- Previous experience in managed care, home health, or long‑term care settings preferred.
Competencies, Knowledge and Skills
- Working knowledge of rehabilitation services and healthcare delivery models.
- Knowledge of regulatory requirements, service authorization, and documentation standards.
- Ability to plan, prioritize, and execute work to meet operational goals and deadlines.
- Ability to analyze information, identify issues, and support problem resolution.
- Ability to effectively communicate complex information to diverse member populations and stakeholders.
- Strong written and verbal communication skills.
- Ability to collaborate effectively across interdisciplinary teams and external providers.
- Ability to build and maintain effective working relationships.
- Ability to support decision‑making within established guidelines and to escalate issues appropriately.
- Demonstrated accountability for quality, accuracy, and completion of work.
- Ability to adapt to changing priorities and support process improvements.
- Ability to incorporate population‑specific needs (e.g., geriatric, complex care) into care delivery.
Licensure and Certification
Current, unrestricted Occupational or Physical Therapy license in the state of New York required. Must have a valid driver’s license, vehicle, and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check. If the record results are unacceptable, the offer will be withdrawn, or, if employment has begun, the position will be terminated.
Working Conditions
This is a mobile position requiring regular travel to different work locations, including homes, offices, or other public settings. Travel may exceed 50% of time. The employee must be prepared for weather conditions typical of the locations and may be required to stand or sit for extended periods. The employee must reside in the territory assigned, with exceptions considered only for business needs. Flexible hours, including possible evenings and weekends, may be required.
Compensation Range
$72,200.00 – $115,500.00 per year. This range is determined by a combination of education, training, and experience as well as the scope and complexity of the role. A bonus tied to company and individual performance may be available. The employer offers a comprehensive total rewards package.
Equal Opportunity Employer
CareSource is an Equal Opportunity Employer.
Disclaimer
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.
#J-18808-LjbffrClinical Rehabilitation Manager - Hybrid (Occupational Therapist or Physical Therapist) (Brookl[...] in new york at Unknown Company
This position is listed as contract and onsite.