Associate Director, Community Services (2026-49823)

Job Summary Under the direction of the Director, the Assoc Dir, Community Svcs manages and oversees the daily functioning of all direct reports supporting assigned contracted clinical work. This position is also responsible for ensuring compliance with all applicable state and federal laws and regulations and necessary procedures governing the assigned contract(s) work requirements. Major Responsibilities Provide supervision and daily guidance to staff ensuring that the service provided meets or exceeds clinical and procedural standards as outlined in the assigned contract(s). Foster team environment, and provide professional and clinical leadership to clinical and administrative program staff, as appropriate. Direct and assist clinical staff in identifying and addressing issues involving team process, clinical workflow, practices and function, as well as monitoring staff scheduling and workload coverage. Monitor the process and outcomes of clinical staff to ensure adherence to appropriate state and federal regulations, as well as all program policies and procedures. Provide clinical guidance to staff related to all clinical contract requirements which are specific to the contract or work assigned (i.e., PASSR evaluations, prior authorizations and clinical eligibility determinations). Review, revise, implement and communicate policy, workflow, and organizational changes to clinical staff. Prepare and present reports per contractual requirements and as requested. Oversee the review process, assignment of cases, and outcomes of evaluations. Work closely with Program Management and Clinical Staff to ensure that clinical integrity is maintained in the assigned program. Coordinate and lead assigned multidisciplinary team meeting including case review as needed. Conduct onboarding activities and performance evaluations of all assigned staff. Interface with Human Resources Department on personnel related issues as needed, including recruitment, hiring and termination of staff. Maintain the confidentiality of all business documents and correspondence. Identify necessary resources to perform program work, monitors work progress including, data analysis and report development, and oversees its timely completion. Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations, including conducting regular quality reviews of clinical services authorized and competency assessments for clinical staff. Support team members in providing clinical information and case details related to the appeal and grievance process. Comply with established departmental policies, procedures and objectives. Comply with all health and safety regulations and requirements. Assist the Director in preparing annual goals and objectives for the program. Act as Liaison between client agencies and assigned programs on clinical and case-related issues. Act as Liaison between client agency operational units regarding issues impacting contract performance including member/participant matters. Ability to travel state-wide. Rarely out of state travel may be required. Work closely with the Program Director to explore new business initiatives for ForHealth Consulting. Other duties as needed in support of Disability and Community-based Services. Required Qualifications Bachelor's Level Degree in Nursing with RN licensed to practice in the Commonwealth of Massachusetts OR Master's Level Degree in Social Work or other healthcare related field and licensed to practice in the Commonwealth of Massachusetts AND 10+ years as a Registered Nurse, Licensed Social Worker or Other Healthcare Related field related to providing direct care, services, or acting in a leadership capacity for individuals with chronic medical or behavioral health disabilities. 5+ years of related experience in community-based services and support 2+ years of recent management/supervisory experience. Proven ability to work in and foster a team environment Excellent written and oral communication skills Preferred Qualifications Master's Level Degree in Nursing, Social Work or Other Healthcare Related Field Knowledge of Mass Health regulations Demonstrated capacity to successfully communicate with stakeholders, including contract managers, providers, and individuals/caregivers/guardians participating in services Strong analytical and problem solving skills Demonstrated experience with eligibility determinations for individuals with disabilities, including those with serious mental illness, substance use disorder, significant medical complexities, home care, rehab or long-term care strongly preferred Proficient in Microsoft Office programs including Word and Excel Posting Disclaimer This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution. In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams. Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role. In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan. UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws. #J-18808-Ljbffr University of Massachusetts Medical School