Quality Improvement Manager – Case Management
Telligen
full-time
Posted on:
Location: Iowa • 🇺🇸 United States
Visit company websiteJob 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)