Oversees the PACE Medical Director, PACE Director, Marketing Director, and Quality and Compliance Manager.
Oversees and administrates all facets of the PACE Program, including effective planning and implementation of all program operations.
Develops and manages all external program relations. Represents the PACE
Program in the community and on the state and national level and assures positive public relations.
Develops a PACE delivery model specific to the needs of the San Diego PACE service area.
Secures all necessary PACE funding, including start-up funding, Medicare and Medicaid reimbursement, and overall program fundraising.
Obtains and maintains PACE certification under CMS, as well as any other state or federal laws or rules. Assures compliance with all state and federal regulations and
works with appropriate governmental agencies regarding regulatory requirements or changes.
Initiates and implements PACE strategic planning processes and resources both internally and within the local community, including planning for program start up, expansion, and creation of new programs or services.
Oversees and ensures overall PACE program quality and effectiveness, including identifying the need for services and innovative ways to provide care, improving efficiency and effectiveness, and responding to participant and community needs.
Develops and implements written policies and procedures that govern the operation of San Diego PACE and ensures compliance with PACE provider regulations.
Oversees, directs and supervises San Diego PACE key personnel, both salaried and contractual.
Reviews and approves the appointment, transfer, or termination of all key staff as defined by DHCS. Notifies the State of California in a timely manner when these changes occur.
Provides leadership and direction to the PACE Management.
Ensures the financial health of the program, including assisting in preparing an annual operating budget for approval by the Board of Directors, allocating the resources to carry out operational and programmatic activities, reviewing and interpreting monthly financial statements, developing actions to correct areas of concern and developing strategies for further growth and development of San Diego PACE.
Endeavors to sponsor and promote the design, organization and operation of the PACE primary care clinic as Patient Centered Medical Home (PCMH) Models of Care and advanced primary care practice settings.
Champions developments, improvements and operation of the Electronic Health Record (EMR) system for the PACE Primary Care Clinic (Patient Centered Medical Home), PACE eldercare continuum of care (PACE Site, provider network and senior patient home and long-term care settings).
Establishes and maintains an effective system of communication and emphasizes teamwork throughout the San Diego PACE organization.
Represents San Diego PACE locally, statewide and nationally including attendance and active participation in Cal PACE and National PACE Association.
Identifies annual census goals and ensures the enrollment structure/process is streamlined and conducive to reaching/exceeding those goals.
Collaborates with clinics to ensure coordinated medical care.
Works with other community based organizations to address non-medical PACE participant needs.
Requires a master's degree in a healthcare-related field.
Immunizations and vaccines must be current or medical documentation from a medical provider to request a waiver
Expertise in directing long term managed care, preferably for an at-risk population and in a capitated setting.
Demonstrated achievement in program development, strategic planning, budgetary oversight, organizational development, resource development, and public relations.