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14 Feb 2024
Full-Time CM Manager
Job Description
Summary/Position Objectives:
This position is responsible for oversight of the planning, development, implementation, and evaluation of Care Management (CM) programs. The Manager of CM is responsible for ensuring staff are following the care management process as defined by improving coordination, continuity, accessibility, and appropriate utilization of healthcare services and community resources for high-risk and special needs members, improving health outcomes and engagement in health-seeking behaviors.
Responsibilities:
Essential Functions:
- Provide oversight of care management programs.
- Responsible for recruitment and selection of appropriate staff and prepares timely employee performance evaluations.
- Promote individual and team development and provide performance management, when necessary.
- Prepares reports on key indicators and activities for committees and senior management.
- Collaborates with Director of CM on development of annual budget and operates within approved budget.
- Collaborates with interdisciplinary teams to support staff in coordination of care activities.
- Serves as a resource for health plan information and helps to integrate care management functions throughout the health plan.
- Assists in the annual development of measurable goals for care management programs based on data from outcomes reports, quality indicators, regulatory agencies, and health plan initiatives and priorities.
- Implement ongoing development and education of care management staff.
- Ensures that program integrity and regulatory requirements are met in conjunction with the Director of CM.
- Other duties as assigned.
Secondary Functions:
- Communicates regularly with employees through staff meetings to share company, health plan, and department information appropriate to their job function.
- Maintains and promotes patient confidentiality and adheres to HIPAA regulations.
- Promotes improved customer service to staff and recognizes their improvement efforts.
- Completes special projects as assigned by management.
- Responsible for development, implementation, and annual review of care management policies and desktops.
- Works in a manner that is not disruptive to peers, supervisors, and/or subordinates.
- Must maintain regular and acceptable attendance at such level as is determined in the employer’s sole discretion.
- Must be available and willing to work such days and hours as the employer determines are necessary or desirable to meet its business needs.
- Must be available and willing to travel to such locations and with such frequency as the employer determines is necessary or desirable to meet its business needs. (If travel is required.)
- Other duties as assigned.
Requirements
Knowledge and Skills:
- Excellent communication skills, both written and verbal.
- Good interpersonal skills including tact and the ability to be a team player.
- Demonstrated skills for presentations and training before small and large groups.
- Knowledge of local health care delivery system.
- Strong problem-solving, organizational, and time management skills with the ability to work in a fast-paced environment.
- The ability to successfully utilize the Microsoft Office suite and common computer and office hardware is necessary.
Education and Work Experience:
- Current state RN license
- Bachelor of Science in Nursing (BSN) preferred.
- CCM Certification preferred.
- Minimum of two years of management/supervisory experience
- Minimum of three years of care management experience.
- Managed Care experience is preferred.
Positions Reporting:
Care Managers
Community Health Workers
How to Apply
Applicants can apply at the following link: https://recruiting.paylocity.com/Recruiting/Jobs/Details/223837274 total views, 0 today