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CenterLight Health System

This is a Full-time position in New York, NY posted February 17, 2021.

The Lead Interdisciplinary Team Manager, will provide support and guidance to other IDT managers and teams in the CL system. The lead IDT manager, under the direction of the Clinical Service Director supervises other IDT Managers who are new to the system, CHN’s, LPN’s and Medical Practice Assistants. As such, the Lead IDT Manager coordinates multi-disciplinary integrated care in the community, Day Health Center, Diagnostic & Treatment Center and throughout the continuum of care.

Direct Accountabilities


  • Supports CSD and other IDT managers in the development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants
  • Is flexible by being fully engaged at different sites as needed, through coverage when other IDT Managers are out.
  • Performs/addresses in-service and training needs of newly hired IDT Managers and is available for ongoing support and consultation for up to 1 year.
  • Collaborates with other IDT Managers regarding the execution of Best Practice initiatives and is supportive throughout the implementation process.
  • Is available as needed to support other IDT Managers, both at home site in addition to all other sites throughout the system.
  • Ensures that the interdisciplinary team maintains appropriate and high-quality care delivery and care management.
  • Coordinates with corporate practice specialists in order to achieve IDT team excellence.
  • Implements in-service training and management directives to support the development and advancement of team members
  • Ensures the timely facilitation by the IDT the implementation of the core function of effective care management: ensuring that the IDT provides the assessment, planning, care coordination, implementation, advocacy, and evaluation/oversight necessary on all aspect of health care delivery to CLHC PACE Participant.
  • Begins the discharge planning coordination process with the IDT upon participant’s institutional admission.
  • Maintains up-to-date member record including care plans, authorizations provided by the IDT, reports of services/interventions rendered by the IDT and/or other providers that include progress notes and discharge summaries.
  • Collects data for operational metrics geared towards ensuring participants are treated in the right venue at the right time and at the right cost at the highest levels of quality
  • Participates in all quality assurance and regulatory compliance activities to ensure appropriate regulatory certifications.
  • Collaborates with departments within the clinical development pillar (medical board, research & innovation, clinical standards and processes) to establish new & improved care delivery processes and treatment protocols.
  • Ensures all documentation for all participants are complete, and accurate, including and not limited to enrollment, disenrollment, electronic/paper medical record, and any other clinical documentation.
  • Manages the timely completion and consistent execution of all processes and aspects of participant’s involvement in PACE plan from pre-start of care conference to dis enrollment.
  • Participates in special projects and assignment as required.


  • Investigates and assists in document and resolving customer issues and grievances in a timely, accurate, and courteous manner. This includes working with the other departments to resolve the source of the problem(s).
  • Ensures all incidents are investigated and address accordingly.
  • Ensures Level 2 investigation is completed in a timely manner according to regulation.
  • Participates in special projects and assignment as required.
  • Reviews participants’ charts for quality and address any deficiencies.
  • Manages and improve the effectiveness and efficiency of the community nurses (RNs) and LPNs under their direct supervision.
  • All other duties as assigned.

Performance Standards

  • Performs consistent with organization’s mission and philosophy. 
  • Performs job responsibilities according to organization’s policies. Seeks clarification when needed.
  • Assumes responsibility for assignments given, seeks supervision appropriately, and is accountable for work performance. Meets productivity guidelines.
  • Maintains proper documentation (updated, timely, legible) related to patient care, whether paper or electronic.
  • Maintains HIPAA standards and confidentiality of PHI.
  • Supports staff, student, and volunteer orientation and ongoing in service education as requested.
  • Supports organizational activities by participating in quality improvement activities, special projects, internal and/or external committees, community activities and other duties as assigned.
  • Serves as role model for peers and colleagues.
  • Assumes responsibility for professional growth and development; maintains and upgrades professional knowledge and practice skills. 
  • Treats other CenterLight employees respectfully and facilitates an environment of teamwork.
  • Initiates, if appropriate, incident reporting process, and participates in incident investigation and reporting as applicable.
  • Performs general office duties in connection with job responsibilities, including but not limited to photocopies, faxing, typing, filing, and phone calls.

Service Standards

  • Makes the needs of participants their central focus and finds innovative ways to provide an exceptional experience.
  • Develops and maintains positive “customer” relationships (“customer” is defined as co-workers, participants, visitors, vendors, supervisors).
  • Communicates with customers in a caring, helpful, considerate and culturally sensitive manner.
  • Demonstrates a thorough understanding of customer needs and wants and attempts to anticipate and meet customer needs.
  • Suggests and implements customer-centered service improvements.
  • Encourages customers to engage with CenterLight employees and CenterLight activities.
  • Utilizes service recovery techniques to resolve issues quickly and to the customer’s satisfaction. Immediately reports customer dissatisfaction to IDT for follow-up.

Managerial Standards

  • Ensures that direct reports conduct their duties according to applicable rules and regulations as well as organization’s policies and procedures.
  • Evaluates the work performance and competency of direct reports. This includes ongoing informal feedback/counseling/support and completion of annual performance reviews.
  • Holds staff accountable for their individual performance.
  • Follows organization’s policies regarding disciplinary action. Engages Human Resources as needed for guidance on disciplinary actions and terminations.
  • Develops individual professional development plans with direct reports, including the identification of in service training needs and interests.
  • Investigates and resolves employee grievances and complaints. Engages with Human Resources as appropriate.
  • Manage and improve the effectiveness and efficiency of medical practice assistants under their direct supervision
  • Manage and improve the effectiveness and efficiency of the community nurses (RNs) and LPNs under their direct supervision.


  • Hospital admissions
  • NH admissions
  • Enrollment and Disenrollment
  • DHC and PCW weekly updates
  • Utilization of DME and Aide services
  • All regulatory CAP logs

Job Qualifications


  • Baccalaureate degree in Nursing, Physical Therapy, Occupational Therapy or a health related field required. For Social Workers, Master’s degree in SW (MSW) required. Successful completion of an accredited Nursing Program required. Baccalaureate degree highly preferred.
  • Completed NYSED approved infection control coursework. A minimum of 8.0 education contact hours that may include contact hours of mandatory training requirements such as infection control coursework


  • Minimum of three (3) years general clinical experience in a certified home health agency (CHHA), acute care, medical surgical, and/or critical care, Nursing Home experience required.
  • Clinical experience must be within one (1) year from date of hire or transfer required.
  • Customer Service experience required
  • Minimum of three (3) years experience working with the elderly
  • Demonstrate proficient typewriting skills. Typewriting test must be take it with a minimum of 40 – 45 words per minute preferably, and over 90% of accuracy.
  • Supervisory experience preferred

License Registration:

  • Current active and unrestricted license and registration in New York State required as a Registered Nurse.



  • Works inside at office locations and outside in varied weather conditions in all areas of the community, using private or public means of transportation. Must be able to walk to patients homes as well as upstairs (if no elevator) to their individual unit.
  • Ability to sit/ stand for extended periods of time
  • Ability to ascend/descend stairs
  • Possess and maintain good physical stamina and mental health, including satisfactory health clearance as required by NYS regulations and Agency policy.
  • Able to physically perform job duties, completed pre-employment and annual physical
  • Potential exposure to health hazards.


  • Current Driver’s License, required insurance and car available for work as required.
  • Good organizational, observation, communication and judgment skills
  • Is self-directed with ability to work with or without supervision.
  • Available to travel a minimum of 75% of business time to Participant’s homes within the NY metro area
  • Demonstrated ability to establish good rapport with participants and peers is essential.
  • Tactful and courteous. 
  • Pleasant telephone manner. 
  • Must be able to work weekends. 
  • Professional attitude
  • Proficient in use of a computer for email, word processing, research, and maintenance of Participant records

Posted 2 Days Ago

Full time


About Us

CenterLight Health System is one of the oldest non-profit comprehensive healthcare organizations in the United States. We are a premier provider of home and community-based healthcare and services in the New York metropolitan area, serving all five boroughs of New York City, as well as Westchester, Nassau and Suffolk Counties. 

Through CenterLight TeamCare, we offer comprehensive healthcare and other services that enrich the lives of our participants and let them live safely at home and in their communities. TeamCare, a program of CenterLight Healthcare, is the nation’s largest not-for-profit Program of All-Inclusive Care for the Elderly (PACE). Each day, our employees serve a richly diverse population of 3,300 participants, speaking 75 languages and dialects throughout our 14 facilities. Learn more at

Need help creating an account? Contact CenterLight HR Helpline 718-321-4246.