Manager, RN Care Management

1 month ago


Birmingham, United States VIVA Health Full time

VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Manager, RN Care Management in Birmingham, AL VIVA HEALTH knows that nursing is not just a job, it is a calling. If you want to fulfill your healthcare calling, check us out We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and are able to take care of the people you love at home We also offer an excellent benefits package including tuition reimbursement for employees and dependents, paid parental leave, and a paid day for community service, to name a fewVIVA HEALTH is the first and only Alabama-based plan to be named an overall 5-out-of-5 Star Medicare Advantage Plan. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Join our teamThe Manager, RN Care Management is responsible for the coordination, development, administration, and implementation of Care Management programs. This position provides supervision to assigned Care Management staff in providing one-on-one care management and is the primary liaison between the health plan and the providers. This position will work with the Chief Medical Officer, Behavioral Health Medical Director, and designees to provide clinical oversight and clear directives of objectives and goals for the assigned team. The Manager, RN Care Management assesses the information and tools needed to manage Care Management members better; measures outcomes through the analysis of reports; and monitors the documentation and effectiveness of the interventions provided by the Care Managers. This position will have work-from-home opportunities.REQUIRED:Graduate of an accredited program of professional nursing, ADN/BSNThree years of supervisory experienceCurrent RN license in good standing with the State of Alabama Board of NursingValid driver's license in good standingMay require significant face-to-face member contact with duties regularly performed away from the principal place of businessWilling to submit to vaccine testing and screeningExcellent written and verbal communication skillsStrong organizational and time management skillsAbility to manage and direct personnel in a positive and effective mannerGood computer and data entry skillsAbility to be flexible, adaptable, and able to work effectively in a variety of settingsStrong professional level of knowledge in the adult population and chronic disease managementPREFERRED:Experience in Acute/or post-acute settingsCertified Case Manager (CCM)Knowledge of Microsoft Word and ExcelKnowledge of community resources, Medicare and Medicaid regulationsClick Here to learn more about how VIVA HEALTH is building a culture where diverse voices, backgrounds, and perspectives are welcomed and celebrated



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