Manager for Personal Care Management Evaluation Department

Assure high quality supports by providing direction and supervision in all aspects of the PCA Evaluation process. Organize staff and staffing functions to provide appropriate, efficient and quality PCA evaluation services. Monitor scheduling of staff to ensure economy and efficiency of consumer contact and Evaluation Department coverage. Monitor and improve job performance of all Evaluation Department staff. Offer constructive feedback on regular basis and conduct performance evaluations in a timely manner. Working closely with IT department to ensure appropriate technical solutions and improvements are provided to Evaluation Department staff. Educate consumers and healthcare providers on PCA Program regulations. Offer insight, support and provide education to fellow colleagues regarding Evaluation Department functions. Oversee complaint policy for PCA consumers or surrogates. Manage administrative processes and requirements in consultation with Human Resources, Information Technology and Compliance departments. Responsible for quality assurance of the PCA Program performance, provide feedback and suggestions for improvement to Director of Community Services. Design metrics to track quality of the PCA Program performance according to contract and related to Evaluation Department services. Review time worked, and Calendars when verifying biweekly payroll. Review vacation requests and approve/deny. Attend monthly staff meetings, management meetings, case conference meetings and other meetings and trainings as appropriate. Responsible for ongoing staff training as PCA program processes are improved or updated. Periodically observe staff in the community and offer feedback. Provide daily support and offer feedback to the Evaluation Department staff. Initiate any Critical Incident reports as appropriate. Communication with consumers regarding questions related to MassHealth Evaluation. Complete MassHealth Evaluation for PCA Program, re-evaluations or adjustments as needed. Provide coaching to staff and document efforts as needed. Review tracking reports to monitor timelines, monthly reviews of evaluations completed by each staff: # completed, error rate, and MassHealth inquiries. Follow up with staff regarding timeliness of adjustments and re-evaluations as necessary. Oversee initials and re-evaluations assignment. Review initial evaluations for completeness. Review all re-evaluations with reduced hours indicating hours changes greater than 20% plus or