ConcertoCare

Manager

• Conduct initial intake calls as well as scheduled and urgent patient outreach based on individual patient’s needs and risk level to review and update the care plan, monitor progress, ensure needs are met, and identify new areas of concern.
• Provide ongoing care coordination for an assigned panel of complex patients.
• Conduct needs assessments and develop plans of care in partnership with the rest of the patient’s care team.
• Ensure care is coordinated, patient-centered, and aligned with the needs and wishes of the patient.
• Support patients during care transitions, including outreach and assessment during and post hospitalization to ensure discharge needs are addressed, to facilitate provider follow-up, and to perform medication reconciliation.
• Identify and implement interventions and collaborate closely with ConcertoCare’s multidisciplinary team (providers, Director of Clinical Care, market nurses, social work, behavioral health, and clinical pharmacy), external providers, and social service organizations to: (1) address gaps in care, (2) mitigate the risk of inpatient admissions, readmissions, emergency room visits and movement to an institutional setting, (3) and keep patients safely living in their desired and appropriate home environment.
• Identify and verify appropriate utilization of resources across the continuum of care.
• Actively participate in interdisciplinary care team huddles, and other clinical meetings.
• Participate in quality improvement and evaluation processes.
• Adhere to compliance policies, procedures, and standards of conduct including all applicable laws and regulations.
• Other duties as assigned.

RN Case Manager

• Supervises day-to-day performance of Lead Case Manager and Case Managers in their assigned markets.
• Oversee job performance, provide regular feedback to Lead Case Managers and Case Managers, perform mid-year and annual performance reviews.
• Manages goal setting, performance improvement, and expectation management across the team.
• Ensures Case Managers in assigned region are trained and performing their work in accordance with ConcertoCare’s Care Model.
• Responsible for staff growth and development by identifying skill and knowledge development to allow staff to grow professionally and advance in their career at ConcertoCare should they desire.
• Manages recruitment, selection, and orientation of new staff as well as on-going training, mentoring, and completion of timely performance reviews.
• Keeps VP of Case Management informed of market and individual case manager performance not meeting ConcertoCare targets/goals or identified opportunities for improvement.
• Leads and participates in the ongoing improvement of the case management process, roles, and documentation requirements for Case Managers and other team members involved with case management activities.
• Works collaboratively with the VP of Case Management to support goals and objectives for case management, and implements strategies for tracking, reporting, and achieving established goals.
• Ensures high quality and timely implementation and documentation of activities performed by RNCMs in their assigned geography per polices & procedures.
• Leads and participates in cross-functional project teams and serves as the Case Management subject matter expert to improve ConcertoCare’s processes and programs.
• Partners with IT and other corporate teams to support special projects , improve case manager clinical documentation in the electronic medical record, reports and dashboards as the Case Manager subject matter expert.
• Generates and analyzes reports and monitors performance against goals for assigned markets in their region.
• Monitors and manages case management reports and dashboards for staff performance, provides guidance and implements actions as needed to achieve ConcertoCare’s internal goals and contractual obligations.
• Supports customer success through leading and participating in external meetings with payer case management teams, external provider partners, and community resources/ vendors
• Manages and aggregates patient and case management data, creates presentations for internal and external partners. Example: Case Manager Clinical Case Conferences for external partners.
• Assumes caseload of patients and manages care, as needed, in accordance with the job duties of Case Managers as needed
• Travels periodically to assigned markets for market meetings, new market startup activities, or targeted other meetings
• Other duties as assigned.

Manager, Case Management

• Lead, support, and develop field staff through hiring, performance coaching, and ongoing professional growth initiatives.
• Oversee clinical operations, ensuring compliance with all regulatory standards and continuously elevating quality of care.
• Drive clinical competency evaluations and personalized development plans for team members.
• Foster a collaborative team environment that delivers efficient, compassionate, and equitable patient care.
• Implement quality improvement initiatives and partner with leadership to address local market needs.
• Champion safety and clinical excellence, actively engaging teams in professional development and evidence-based practice.
• Promote innovation and adaptability, inspiring staff to achieve shared goals and deliver outstanding results for patients with complex needs.

RN Case Manager

Manager, Case Management

Clinical Nurse Manager, Field Care Delivery