Comunilife, Inc. · 2 months ago
Assistant Program Program Director-Care Coordination
Comunilife Inc. is looking to fill an Assistant Program Director position for its Care Coordination program. The role provides operational and clinical leadership for the agency’s Health Home Care Coordination Program, ensuring high-need Medicaid members receive integrated care coordination services in alignment with regulatory requirements.
CommunitiesHealth CareNon ProfitSocial
Responsibilities
Provide day-to-day oversight of all Health Home Care Coordination activities, ensuring consistent delivery of high-quality, person-centered services
Monitor caseload assignments, service utilization, and billing activity to ensure that monthly billable targets and productivity goals are achieved
Develop and implement systems to track staff performance, client engagement, and compliance with Health Home program metrics (e.g., outreach, enrollment, engagement, and active care management)
Collaborate with Finance and Compliance departments to monitor program budgets, billing integrity, and revenue projections
Ensure all client documentation — including Assessments, Plans of Care, Progress Notes, and Consent Forms — meets timeliness, accuracy, and quality standards required by NYS DOH, MCOs, and Health Home Leads
Conduct regular chart audits, quality reviews, and utilization monitoring to identify trends and implement corrective actions as needed
Lead responses to Health Home Lead audits, MCO reviews, and state monitoring visits
Develop and update internal policies and workflows to align with evolving Medicaid and Health Home regulations
Ensure care coordinators complete 5 services per day to ensure completion of their caseload. Provide leadership and clinical guidance to Care Coordinators
Conduct regular supervision meetings to review caseloads, service goals, and client progress
Support ongoing staff training in trauma-informed care, motivational interviewing, harm reduction, health literacy, and documentation compliance
Foster a supportive team culture that values accountability, professional growth, and excellence in client care
Qualification
Required
Master's degree in Social Work, Nursing, Psychology, Public Health, or a related human services field required
Minimum 5–7 years of progressive management experience in Health Home, Care Coordination, or Medicaid-funded care management programs
Demonstrated success in meeting billable service goals, managing compliance, and leading multidisciplinary teams within a nonprofit or healthcare setting
Strong understanding of NYS DOH Health Home standards, MAPP/HHTS workflows, and managed care billing requirements
Experience using Foothold RMA or comparable care management software
Benefits
Comunilife's generous benefit and paid time off package.
Company
Comunilife, Inc.
For 36 years, Comunilife (started in 1989) has been committed to improving the quality of life and creating a healthier tomorrow for New Yorkers with special needs in the Hispanic and broader communities, by providing culturally competent health and human services and a continuum of affordable and supportive housing.
Funding
Current Stage
Growth StageRecent News
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