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Manager Of Nursing: Transition Of Care Programs - Remote

Company

ConnectiCare
Address , New York, 10004, Ny
Employment type FULL_TIME
Salary $86,000 - $165,000 a year
Expires 2023-06-18
Posted at 1 year ago
Job Description
Summary of Position
  • Responsible for the day-to-day operation and performance of the care management team providing care management services to EmblemHealth members.
  • Use problem solving abilities to create solutions to operational and clinical issues identified during day-to-day operations.
  • Collaborate with the Director and AVP of Care Management and internal audit teams to address audit related findings and implement performance improvement strategies.
  • Utilize data to monitor team member performance (quality, outcome and productivity measures, etc.); deploy strategies to improve performance.
  • Provide coaching and mentoring to team members to address performance related issues.
  • Develop job aides, work flows and other tools to enhance delivery of care management services.
  • Collaborate with other functional areas within organization to ensure that Care Managers are implementing EmblemHealth Health Plans policies, procedures and all regulatory mandates, consistent with Emblem Health Plans mission, vision, purpose and value statement.
Principal Accountabilities
  • Train employees in process operations; act as a preceptor to newly hired staff.
  • Monitor team caseloads; shift workloads accordingly to meet departmental/organizational needs.
  • Monitor employees’ performance regularly and coach employees as needed.
  • Monitor timeliness and appropriateness of documentation in clinical systems to ensure that documentation meets accreditation and regulatory standards.
  • Ensure that team members are managing enrollees across the care continuum, inclusive of behavioral health, so that enrollees have access to needed care and services.
  • Serve as a clinical resource; attend Care Management rounds.
  • Complete quarterly evaluations of staff as needed.
  • Manage daily operations of the Care Management team including measurement of performance metrics and productivity standards; implement, deploy, and reinforce strategies to improve performance.
  • Perform other related tasks as directed or required.
Education, Training, Licenses, Certifications
  • Bachelor’s degree, preferably in Nursing.
  • Current New York State RN or LSCSW license required.
  • CCM certification preferred.
Relevant Work Experience, Knowledge, Skills, and Abilities
  • Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences. (R)
  • Able to analyze problems and recommend and deploy strategies to improve performance in collaboration with the leadership
  • Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, etc.) (R)
  • 5 – 8+ years of clinical experience. (R)
  • Detail oriented; strong analytical and problem-solving skills; ability to execute on strategy. (R)
  • Team. (R)
  • Health plan experience. (P)
  • Experience leading care management teams. (R)
  • Ability to organize, prioritize, and effectively manage multiple tasks with competing priority levels and deadlines. (R)

Additional Information

  • Requisition ID: 1000000897
  • Hiring Range: $86,000-$165,000
  • Employee Status: Regular
  • Job Type: Standard
  • Schedule: Full-time