PACE Program Director
Company: San Ysidro Health
Location: San Diego
Posted on: November 20, 2023
Position Summary: Under the supervision of the VP of Senior
Health Services, the PACE Program Director oversees the
administration of PACE services for San Diego PACE participants.
The PACE Program Director promotes quality, efficiency, and
accessibility of all PACE services to PACE participants and
families. The Program Director will set expectations for the
planning, organization and implementation of PACE Services for San
Diego PACE participants, and work in conjunction with the PACE
Medical Director to provide strategic and operational guidance for
all levels of San Diego PACE staff and contractors, including site
managers and directors, staff members, providers, community
agencies, health network management, and others who provide care
and services to San Diego PACE participants. Essential Functions of
- Oversees the administration of PACE services across the
program, including working with other departments and outside
agencies to coordinate and integrate services for effective and
efficient participant care.
- Effectively supervises and manages direct reports (per the San
Diego PACE Organizational Chart) and provides leadership, support,
continuing education opportunities and direction to employees of
- Builds an effective team of leaders by providing guidance,
career coaching, growth, and personal development to
- Provides leadership in hiring of PACE staff by ensuring
operational and staffing needs are met to meet or exceed monthly
enrollment goals per center including determining qualifications,
competence, and performance expectations; planning, implementing,
and monitoring of staffing plans; providing orientation and
training and continuing education.
- Collaborates with program leaders to review the development of
PACE program policies and procedures to ensure PACE staff is
educated about changes and workflows are modified.
- Continuously assesses and improves the department's performance
by designing operational processes, monitoring performance through
data, analyzing the data, implementing sustainable performance
improvement, and participating in
interdisciplinary/interdepartmental improvement activities.
- Ongoingly reviews financial and qualitative reports to increase
understanding of the organization's financial and non-financial
- Monitors and controls the budget including processes to monitor
operational and capital costs.
- Responsible for the development and oversight of a robust
provider network; works closely with the Provider Network Team to
ensure all contracted provider agreements are in place and serves
as an escalation point for issue resolution.
- Monitors and evaluates the results of programmatic operations
against established objectives, quality assurance/service standards
and budget/other financial criteria and reports and submits
performance plans as indicated to the VP of Senior Health
- Oversees the audit process and ensures a plan is created and
implemented to address any corrective action measures.
- Helps set the tone of the department to ensure morale,
teamwork, and a positive organizational culture is maintained.
- Regularly schedules management, department, and staff 1:1
meetings to provide leadership, development, and a forum for
communication to ensure coordination and collaboration in meeting
organization and individual goals.
- Establishes and sustains an advocacy role at the local, state,
and national levels for community health centers and the patients
they serve. Additional Responsibilities:
- Works with the PACE Program Medical Director to ensure the
Interdisciplinary Team (IDT) is appropriately trained in their role
and responsibilities within the team.
- Supervises and assists Program Managers, Site Directors, and
IDT Managers to ensure all CMS/DHCS expectations of IDT are
- Assists in evaluating the IDT and morning meeting structure to
increase efficiency and qualitative outcomes.
- In collaboration with other leaders, creates systems and
training to ensure staff is documenting in accordance with CMS and
- Creates qualitative metrics to monitor overall participant
satisfaction and addresses operational inefficiencies that could
result in dissatisfaction and disenrollment.
- Ensures PACE centers are operating in compliance with all
governing regulations and all other applicable regulatory
authorities and protocols.
- Ensures the delivery of all participant services/programs are
compliant with State and Federal rules and requirements.
- Ensures annual employee performance reviews are conducted in a
timely and effective manner. Evaluates performance of employees for
compliance with established policies and objectives of the
organization and contributions in attaining objectives. Job
Requirements: Education Required (Minimum level of education):
- A master's degree in a health-related field or business
administration Experience Required:
- Five (5) years of experience in a management-level
administrative capacity in a health-related organization
- Three (3) years of experience working in senior or elder care
setting - PACE, Nursing Home, Hospice, ADHC. Must Possess the
- Work independently and as an effective member of a team.
- Comfortable working in a dynamic environment with both
short-term and long-term deadlines.
- Comfortable leading and facilitating discussion with
clinicians, patients, and caregivers.
- Establish and maintain effective interpersonal relationships
with all levels of staff, other programs, agencies, members,
medical providers, and the general public.
- Communicate effectively, both verbally and in writing, with
individuals from varying cultural and clinical backgrounds.
- Identify pertinent policy and operational issues; develop
strategies, solutions, and recommendations.
- Multi-task in projects and their respective activities,
timelines, and issues.
- Motivate and lead various participants at all levels in the
- Effectively utilize computer and software tools. Training and
- Strong writing, analytical and oral presentation skills.
- Candidate must be comfortable working in a dynamic environment
with both short-term and long-term deadlines. Knowledge of:
- Culture and needs of the socially and ethnically diverse
population that San Diego PACE serves.
- Community-based organizations, agencies, and community
- Principles and practices of health care, health care systems,
and managed care.
- Medi-Cal/Medicare benefits and regulations.
- Techniques of program and policy development, administration,
- Health Plan, Hospital and Medical Group operations and
- Knowledge and experience working with LTC facilities, SNF,
- Working knowledge of health care delivery and financing
systems, including Medicaid, Medicare, waiver programs, prospective
and capitated systems, public health programs, and HMO/Managed
- Good working knowledge of healthcare, social services, and
aging networks, as well as relevant federal and state systems.
- Good working knowledge of the principles, procedures, and
techniques governing contract negotiations. About Us San Ysidro
Health is a Federally Qualified Health Care organization committed
to providing high quality, compassionate, accessible and affordable
healthcare services for the entire family. The organization was
founded by seven women in search of medical services for their
families and community. Almost 50 years later, San Ysidro Health
now provides innovative care to over 108,000 patients through a
vast and integrated network of 47 program sites across the county.
San Ysidro Health could not serve our patients without the
dedication of our passionate and hardworking employees. Apply today
and become a part of our mission-driven team! San Ysidro Health has
a long-standing commitment to equal employment opportunity for all
applicants for employment. Employment decisions including, but not
limited to, those such as employee selection, performance
evaluation, administration of benefits, working conditions,
employee programs, transfers, position changes, training,
disciplinary action, compensation, and separations are made without
regard to race, color, religion (including religious dress and
grooming), creed, national origin, nationality, citizenship status,
domestic partnership status, ancestry, gender, affectional or
sexual orientation, gender identity or expression, marital status,
civil union status, family status, age, mental or physical
disability (including AIDS or HIV-related status), atypical
heredity cellular or blood trait of an individual, genetic
information or refusal to submit to a genetic test or make
available the results of a genetic test, military status, veteran
status, or any other characteristic protected by applicable
federal, state, or local laws.
Keywords: San Ysidro Health, San Diego , PACE Program Director, Executive , San Diego, California
Didn't find what you're looking for? Search again!