Manager, Care Management Operations

Summary

The Manager of Care Management Operations is responsible for the daily management and clinical oversight of the Care Management team. The Care Managers assist Curana Health Medical Group patients to achieve optimal quality of life and clinical outcomes through coordination of care, including ensuring safe transitions from an inpatient setting to home or a lower level of care. 

This leader possesses data analysis skills, excellent communication skills, proven motivational capabilities, and a demonstrated track record of leading and motivating talent to deliver and attain goals. This is a remote position with some travel to local or out of state Senior Housing Communities. The Manager of Care Management Operations will report to the Director of Care Management.

Essential Duties & Responsibilities

• Implements and monitor standardized protocols to facilitate integrated proactive care management that aligns with the model of care and meets regulatory requirements.
• Assists with orientation and mentoring of new staff.
• Partners with the Director of Care Management to ensure adequate staffing and maintain customer satisfaction by implementing and monitoring staff productivity and performance indicators.
• Audits care management assessments and care plan development for completeness and timeliness.
• Monitors post-discharge communications to assure continuity of care and prevent unnecessary readmissions.
• Collaborates with the Director of Care Management on operational issues, staffing, and program needs and presents a solution action plan for issues.
• Implements and monitors new care management programs relative to applicable lines of business and any product/benefit change
• Works as a liaison with external organizations to ensure lines of communication are in place for patient engagement and communicates directly with families, physicians, and community providers as needed.
• Other tasks as assigned

Qualifications

Minimum Qualifications

Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or Registered Nurse (RN)

Experience as a clinical leader

Demonstrated strategic thinking, process improvement, innovative thinking and team management expertise

Demonstrated experience in the usage of data to guide decision making

Preferred Qualifications

CCM certification