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)