Job Summary:

Provides operational support and day-to-day coordination of rehabilitation services to ensure effective, compliant, and high-quality care delivery. Executes established program standards, supports utilization and clinical processes, and partners with internal teams and external providers to address service delivery needs. Collaborates with the Rehabilitation Director and VP to implement program initiatives, monitor performance, and ensure consistent application of rehabilitation practices.

Essential Functions:

• Supports the implementation and day-to-day execution of rehabilitation program activities and workflows.
• Assists in operational planning, coordination, and monitoring of program performance.
• Applies established policies, procedures, and clinical guidelines in daily operations.
• Identifies operational issues and escalates appropriately.
• Coordinates rehabilitation services to ensure timely, appropriate, and effective care delivery.
• Supports interdisciplinary care team discussions and addresses service-related issues.
• Assists in evaluating member needs, including coordination for long-term care settings.
• Supports utilization review activities to ensure services are appropriate and aligned with program standards.
• Monitors documentation for completeness and alignment with regulatory and reimbursement requirements.
• Identifies documentation or utilization issues and partners with leadership for resolution.
• Supports quality assurance and performance improvement activities.
• Ensures adherence to established regulatory, accreditation, and organizational requirements.
• Assists with audit preparation and data gathering for regulatory reviews.
• Coordinates with contracted providers and vendors to support service delivery and resolve issues.
• Partners with internal teams (e.g., DME, care management) to address member care needs.
• Communicates effectively with providers, members, and internal stakeholders.
• Perform any other job related duties as requested.

Education and Experience:

• Bachelor's degree required
• Master's or Doctorate preferred
• Three (3) years experience in rehabilitation services or clinical operations required
• Previous experience in managed care, home health or long-term care settings preferred

Competencies, Knowledge and Skills:

• Working knowledge of rehabilitation services and healthcare delivery models
• Knowledge of regulatory requirements, service authorization, and documentation standards
• Ability to plan, prioritize, and execute work to meet operational goals and deadlines
• Ability to analyze information, identify issues, and support problem resolution
• Ability to effectively communicate complex information to diverse member populations and stakeholders
• Strong written and verbal communication skills
• Ability to collaborate effectively across interdisciplinary teams and external providers
• Ability to build and maintain effective working relationships
• Ability to support decision-making within established guidelines and escalate issues appropriately
• Demonstrated accountability for quality, accuracy, and completion of work
• Ability to adapt to changing priorities and support process improvements
• Ability to incorporate population-specific needs (e.g., geriatric, complex care) into care delivery

Licensure and Certification:

• Current, unrestricted Occupational or Physical Therapy license in state of New York required
• Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated

Working Conditions:

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
  Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
  Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
  May be required to travel greater than 50% of time to perform work duties.
  Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer
  Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
• Over 50% (Mobile) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.