Wellness & Care Coordinator - RN

Type:Full TimeSalary/Pay Rate:$90,000Posted Date:03/25/2024

Aging & Disability Services

Full Time, 35 hours per week, Exempt

Position Summary:

Responsible for the oversight of an interdisciplinary team of eight (8) professional staff and one (1) para-professional staff who plan and manage services from assessment of need to care planning for frail seniors and physically disabled adults across a continuum of care. The incumbent is responsible for the development, implementation, and oversight of Jersey Assistance for Community Caregiving (JACC), Aging and Disabilities Resource Connection (ADRC) model, State Health Insurance and Assistance Program (SHIP), Medicare Improvement for Patients and Providers Act (MIPPA), Federal Financial Participation (FFP) and Project LifeSaver (PLS).

Essential Functions:

• Serves as a member of the Management Team of the Office on Aging and Disability Services

• Supervises Eldercare staff, OOA Specialist III, Eldercare Educator, Care Manager - Masters prepared Social Workers

• Interviews and makes recommendations regarding employment and termination of staff; trains and evaluates staff

• Implements and supervises the core services under ADRC to include: Information and Referral, Outreach, Screening, Options Counseling, Assessments, NJ Care Management and Counseling

• Establishes internal protocols to standardize core service procedures for ADRC

• Establishes a Quality Assurance Program to ensure quality program standards and ensure compliance with funding requirements

• Develops and implements a process to manage program wait lists in accordance with State and local policy

• Establishes and maintains a system to identify income eligible clients for Jersey Assistance for Community Caregiving (JACC)

• Develops and maintains a system to monitor, track and manage the spending authorization used for Jersey Assistance for Community Caregiving (JACC), Project Lifesaver (PLS), State Health Insurance and Assistance Program (SHIP) and Federal Financial Participation (FFP)

• Maintains monthly statistics on clients regarding spending authorization

• Provides ad hoc reports as required by the State or Supervisor

• Ensures that all Federal, State, and local standards as defined in the Aging and Disability Resource Connection protocols are appropriately implemented

• Develops, implements, and evaluates a quality assurance program for all case management functions

• Supervises Care Manager home visits to assess and reassess clients, as needed

• Reviews annual plans of care with updates as required

• Maintains records in accordance with Federal, State, and local requirements

• Designs Quality Assurance mechanisms and evaluative tools to obtain feedback on client needs, program satisfaction and to measure outcomes

• Actively participates in training sessions and meetings as required

• Serves as a member of the Office on Aging Management Team which assists Executive Director in planning, policy development and evaluation

• Completes special projects as assigned by the Executive Director, Deputy Director and/or as recommended by Contracts & Fiscal Planner

• Manages the daily operations of the agency Care Management Staff/Team

• Monitors field work to ensure Care Managers utilize appropriate time management.

• Monitors care management activities and time-line compliance through monitoring of care management reports and logs

• Performs document review (including data entry) for completeness, accuracy, and clarity of documentation submitted by care managers per record audit policy and procedure

• Seeks corrections, completion and/or clarification from Care Managers and data entry when necessary, providing education/instruction and reinforcement of procedures when applicable

• Provides day-to-day supervision of Care Managers, including consultation, guidance, direction, resource identification, problem resolution, seeking input and approval from Executive Director when necessary

• Provides direct programmatic oversight of the overall performance and activities in compliance with County, State, and Federal requirements, monitoring authorizations to maintain expenditures within the program(s) budget

• Provides orientation and training for Care Managers and works with Executive Director to recruit and select new Care Managers

• Receives periodic care management aggregate reports from the New Jersey Department of Human Services, Division of Aging Services regarding service utilization and spending authorizations

• Works with Care Managers, ADRC Assessors, and County Welfare Agencies to assure enrollments/ disenrollment's are processed in an appropriate and timely manner, and billing issues are resolved appropriately

• Completes staff performance evaluations

• Consults with and receives guidance and direction from Executive Director regarding care management recurrent problems, issues with a potential financial impact, medically related issues, potential political issues, real or potential quality of care issues, and other issues as deemed appropriate

• Coordinates transfer of participants from Care Manager to Care Manager when necessary as well as from County to County

• Gathers statistical information as directed/requested participates in internal and external audits

• Manages Care Manager assignments and monitors caseload sizes in compliance with approved guidelines

• Provides input to the Executive Director and Deputy Director regarding Department policy and procedures, and mandated procedural changes, assisting with development and revision of internal Care Management policy and procedures

• Reviews all Screen for Community Services (SCS) for accuracy and to ensure all are in compliance with County, State, and Federal requirements

• Completes agenda for and conducts regular meetings and one-one-one sessions with all direct reports

• Provides direction with problem identification, problem solving, and development of new processes as needed

• Engages with Care Managers, physicians, and other healthcare providers to reduce/avoid high length of stays, avoidable hospital days, delay of service issues and perform comprehensive level of care needs assessment in collaboration with the Aging and Disability Resource Connection (ADRC) Assessor as necessary

• Maintains and reviews Nutritional Program Data Base to ensure accuracy

• Maintains HIPAA standards and ensure confidentiality of protected health information

• Coordinates Quality Assurance and Quality Improvement activities under the direction of the Executive Director

• Reviews and approves any changes to the Plans of Care per program specific policy

• Provides mediation between the participant and the providers, guardians, family members, or the agency relative to the needs and desires identified by the participant, as necessary

• Maintains professional relationships with department personnel, county personnel, participants, families, and service providers

• Identifies training needs for the Care Management program and assists with coordination of training

• Prepares reports, keep data, and present information relative to Care Management activities to its governing board, its committees, funding sources, service providers, and the public as assigned

• Participates in the county Aging and Disability Resource Connection (ADRC) planning process

• Attends quarterly Care Coordinator/Care Management Supervisors meetings as conducted by the Department of Human Services, Division of Aging Services (DoAS) staff

• Ensures County representation at Care Management Regional meetings as conducted by the Department of Human Services, Division of Aging Services (DoAS) staff

• Participates in professional development opportunities

• Services as back up for Eldercare Services Administrator

• Other duties as assigned.

Essential Qualifications:

The Wellness & Care Coordinator must be a Master's Prepared Licensed, Registered Nurse, NJSA 45: 11-26

Preferred Qualifications

• At least two (2) years Supervisory experience in case/care management, preferably with the senior/disabled population, possessing a working knowledge of the provision of health care in a variety of settings and knowledge of community resources, health insurance, and care delivery systems

• Five (5) Years' experience in working with the elderly

• 2 years' experience with client assessment process and developing/documenting client plans of care

• One (1) year experience designing/implementing programs

• Experience in community mental health

• Knowledge and understanding of community resources/services/Medicaid Waiver programs

• Excellent time management, organizational, problem-solving skills

• Public speaking experience

• Conversant with budget preparation and management

• Excellent interpersonal and communication skill

• Ability to produce accurate work in a fast-paced work environment

• Detail oriented and flexible

• Ability to read, write, understand, and communicate clearly in English

• Computer skills: Microsoft Office Suite (i.e., Word, Excel) and ability to work in web-based database programs,

• Excellent interpersonal, problem solving, time management and organizational skills.

• Ability to work effectively as part of a team

• Ability to pass state or local training tests

• Ability to pass Office on Aging and Disabilities tests on Program policies and procedures

• Valid NJ Driver's License: ability to independently travel to alternate locations/meetings/residences as assigned.