Manager of Case Management
2 weeks ago
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Manager of Case Management - California
The ConcertoCare
Manager of Case Management
supports the daily activities of Case Managers for ConcertoCare.
This position will ensure that case management processes and programs are implemented and serves as a resource and subject matter expert for the Case Managers working in their assigned geography.
Key areas of focus include day to day support for Case Manager staffing, attendance, and performance, training, and coaching of Case Managers and oversight of case management activities performed by Case Managers.
The position will work closely with market-level care teams to ensure successful achievement of case management outcome measures.This role is a working leader role and will perform the activities of a Case Manager for a partial panel of patients in addition to supporting their team.
This is an ideal position for a leader who seeks an opportunity to contribute to the health and wellbeing being of highly complex patients, enjoys a collaborative multidisciplinary team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex and social support needs that the current health system does not serve well.
Responsibilities:
Supervises day to day performance of Case Managers in their assigned region
Oversees job performance, provides regular feedback to Case Managers, performs mid-year and annual performance reviews
Recruits, trains, and coaches Case Managers in their assigned region
Generates reports and monitors performance against goals for markets in their region
Works collaboratively with the VP of Case Management to support goals and objectives for case management, and implements strategies for tracking, reporting, and achieving established goals
Ensures Case Managers in assigned region are trained in evidenced-based practices and/or best practices for case management
In collaboration with the VP of Case Management designs the case management process, roles, and documentation requirements for Case Managers and other team members involved with case management activities
Ensures high quality and timely implementation of activities performed by the Case Managers in their assigned geography
Partners with Project Management staff as the Population Health subject matter expert on the implementation of case management initiatives
Partners with IT and other corporate teams to support special projects as SME
Promotes staff growth and development by identifying educational opportunities to increase efficiency and maintain compliance with industry standards
Conducts individual training and coaching sessions, group activities, and staff meetings, assuring policy and procedures are adhered to and when necessary, modified to address changing strategic objectives
Maintains partial caseload of patients and manages care in accordance with the job duties of Case Managers
Conduct initial intake calls as well as scheduled and urgent patient outreach based on individual patient's needs and risk level to review and update care plan, monitor progress, ensure needs are met, and identify new areas of concern.
Provide ongoing care coordination for an assigned panel of complex patients.Conduct needs assessments and develop plans of care in partnership with the patient's ConcertoCare care team.
Ensure care is coordinated, patient-centered, and aligned with the needs and wishes of patient.
Support patients during care transitions, including outreach and assessment during and post hospitalization to ensure discharge needs are addressed, to facilitate provider follow-up, and to perform medication reconciliation.
Identify and implement interventions and collaborate closely with ConcertoCare multidisciplinary team (providers, Director of Clinical Care, social work, behavioral health, and clinical pharmacy), external providers, and social service organizations to: (1) address gaps in care, (2) mitigate the risk of inpatient admissions, readmissions, emergency room visits and movement to an institutional setting, (3) and keep patients safely living in their desired and appropriate home environment.
Identify and verify appropriate utilization of resources across the continuum of care.Actively participate in interdisciplinary care team huddles, and other clinical meetings.
Adhere to compliance policies, procedures, and standards of conduct including all applicable laws and regulations.
Other duties as assigned.
QUALIFICATIONS
Current RN License in good standing in the state of practice required.
At least 3 years of experience as a Case Manager, strong preference for experience outside the hospital setting
At least 2 years experience with team leadership or individual mentoring
Minimum of 3 years' experience working in a clinical setting, preferably including home health care, ambulatory care, community public health, and/or case management.
Bachelor of Nursing degree strongly preferred, equivalent experience considered.Certified Case Manager (CCM) certification or commitment to completion within 1 year of hire.
Ability to train and support others as a Case Management Subject Matter Expertise
Strong problem-solving and organizational skills
At least two years working with data and reporting, with preference for those with productivity and outcomes tracking experience
Geriatric care experience highly desired
Knowledge of Medicare and Medicaid
Strong clinical skills and ability to implement evidenced-based care.
Ability to manage patient complexity and multiple clients with diverse needs
Demonstrated ability to triage patient reported symptoms and issues that require escalation to our field-based team and apply critical thinking skills.
Ability to communicate effectively in writing and verbally.Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines.
Ability to work in a fast paced, dynamic environment and work well with others on a team.
Knowledge of Medicare and Medicaid populations a plus.
Proficient in computer skills to include Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and EMR experience
Knowledge and ability to navigate internet-based tools and applications, and proficient in computer documentation
Demonstrates high level of professionalism.
Base Salary/ Wage Range $135,000 to $150,000 plus annual bonus.
Compensation for the role is commensurate with the candidate's qualifications, skills, competencies, and experience and may fall outside of the range shown.
ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits.
We are an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
ConcertoCare is an Alcohol/Drug/Smoke-Free Workplace#J-18808-Ljbffr
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