Manager, Care Coordination and Utilization Management

2 weeks ago


Denver, Colorado, United States Alpine Physician Partners Full time
Join our team

About Us:


We are proud to be recognized as a Top Place to Work for over a decade. If you are looking to be part of a company that prioritizes its employees, then look no further and consider applying for a role with us today.


Position Overview:


As the Manager of Care Coordination and Utilization Management, you will be in charge of overseeing the continuum of care management. This includes responsibilities for both care coordination and utilization management, with a focus on improving health outcomes and reducing healthcare costs for specific populations.

We are seeking a strategic leader who possesses a deep understanding of population health principles, utilization management, healthcare delivery systems, and data-driven decision-making.


Key Responsibilities:
  • Manage day-to-day department operations, identify issues, and find solutions to enhance employee satisfaction
  • Lead a team of healthcare professionals effectively, providing guidance, addressing performance concerns, and fostering a culture of growth and development
  • Collaborate with various departments to drive program design, implementation, and evaluation
  • Align care management activities with organizational objectives
  • Analyze and utilize program data to drive improvements and implement new initiatives
  • Conduct audits to ensure compliance with regulatory standards and quality requirements
  • Facilitate communication with primary care providers to optimize patient outcomes
  • Represent Care Coordination in key meetings and committees
  • Adhere to compliance standards and legal regulations
  • Other duties as assigned

Requirements:
  • Graduate of an accredited nursing school as an RN
  • 3-5 years of clinical experience as an RN
  • 3-5 years of healthcare staff management experience
  • Experience in program design, implementation, and evaluation
  • Familiarity with healthcare guidelines and care coordination models
  • Proficiency in data analytics and care delivery optimization
  • Cultural competence and ability to tailor interventions for diverse populations

Skills and Qualifications:
  • People management skills, project management abilities, and conflict resolution
  • Strong communication and presentation skills
  • Knowledge of care coordination best practices
  • Understanding of healthcare delivery systems and services
  • Proficiency in data analysis and decision-making
  • Ability to ensure HIPAA compliance for remote positions

Join our team and make a difference in healthcare
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