Assistant Director, Clinical Review RN - 260002

Title: Assistant Director, Clinical Review (RN, AIMS)

This person would oversee the AIMS work. This is an RN with management experience to lead Clinical Review, appeals and quality review work. This person should have strong HIV-SNP or AIDS program clinical work to manage a team of staff through the contract.

General Responsibilities:

Assist the Assistant Vice-President in management of NYSDOH AIDS Institute clinical review activities, including review planning, oversight, quality assurance, staffing and contract compliance.

Duties:

1. Assists the AVP in the development, planning and implementation of the following activities related to the NYSDOH AIDS Institute contract.

i) New review development based on NYSDOH AIDS Institute clinical project timeline

ii) Clinical and analytical team review training, including research and development of training materials

iii) Supervision and coordination of review staff including quality and key performance metrics monitoring

iv) Quality assurance as data is abstracted from medical records and clinical documentation

v) Clinical research and trend monitoring

1. Support implementation of expanded review processes such as medical record portal use, cloud solutions, REDCap, Salesforce etc.

1. Supervision: The Assistant Director of AIMS and Clinical Review directly supervises FSHCA clinical staff at the review level to assist the AVP and executive management in ensuring the timely completion of all contract deliverables.

1. Provides back up and updates to Department Directors, AVP and VP.

1. Attends NYSDOH AIDS Institute and departmental meetings as required.

1. Such other duties as may be required.

Qualifications:

1. Advanced clinical and writing skills, with the ability to present research and findings, both orally and in writing, to leadership.

1. Capable of communicating effectively at all levels.

1. Ability to supervise, coordinate and manage clinical staff.

1. Strong time management skills with the ability to handle multiple tasks simultaneously to meet deliverables.

1. Proficiency in PC-based computer software, especially Microsoft Office Suite products.

1. Ability and willingness to travel, when necessary.

Education and Experience:

1. NYS Licensed, Registered Nurse is required.

1. Baccalaureate Degree in Nursing or related discipline is required. Master's Degree is preferred.

1. Three (3) years demonstrated supervisory/managerial experience required.

Preferred Skills:

Previous work experience and familiarity with HIV-SNP program management, care management, or UM or strong clinical experience in this space.

Schedule/Shift:

Monday-Friday, 40 hours a week onsite

Location:

Onsite in Jericho, NY office

Pay:

$105,000-115,000