Telligen

Quality Improvement Manager – Case Management

Telligen

full-time

Posted on:

Origin:  • 🇺🇸 United States • Iowa

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Job Level

Mid-LevelSenior

About the role

  • Manage the day to day operations of health management lines of service and/or contracts/programs, with particular emphasis on case management programs and care coordination initiatives
  • Lead a team in the creation of a strategic plan, implementation of plan, evaluation and ongoing management to ensure contract deliverables/program requirements and evaluation measures/metrics are met and/or exceeded
  • Facilitate analyses and initiate action plans when deliverables/requirements are at risk
  • Develop and maintain relationships with team stakeholders and provide technical assistance, including issue research and resolution
  • Develop and implement process improvement methods and ensure operations are completed in a timely, satisfactory, compliant manner within assigned budget
  • Participate in sales, business development and proposal activities, contribute as a subject matter expert, and monitor budgets and financials for assigned contracts
  • Coach, guide and direct team members to achieve individual, team and organizational objectives and provide resources and support to meet departmental and Company goals
  • Represent the company at meetings and/or conferences, work externally with providers or clients, and make recommendations for improvements and/or efficiencies
  • Stay abreast of industry trends and changes and perform miscellaneous duties as assigned

Requirements

  • Four year degree in nursing, health care, business, public health or a related field and/or equivalent training and/or experience
  • Current and unencumbered RN license
  • 5 years experience in a healthcare environment with demonstrated expertise in care management, care coordination, and/health care quality improvement, including experience with case management and evidence-based clinical guidelines
  • 3 – 5 years managing projects and/or a professional staff
  • Demonstrated experience working in a fast paced and deadline driven environment
  • Positions working on specific contracts may require U.S. Citizenship
  • CCM (Certified Case Manager) certification or ability to obtain certification within 2 years of hire (preferred)
  • Experience with case management models and interventions (preferred)
  • Knowledge of care coordination best practices and transitions of care (preferred)
  • Familiarity with population health stratification and risk assessment tools (preferred)
  • Understanding of care management metrics and outcomes measurement (preferred)
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