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Manager, Clinical Programs

2 months ago

Honolulu, United States Navvis Full time

About Us:

Navvis is a leading population health company, driving performance in value-based care. As an operating partner to some of the country's most innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care. Our approach is market-based - we respect the unique needs of populations in each community, including access to care, culture, values, and capabilities. Together with our partners, we set a new national standard in healthcare performance that delivers the affordability, quality, access, and experience that all patients deserve.

Learn more at: www.navvishealthcare.com

Department Overview:

What if we routinely asked every person involved in providing or receiving care: "What matters to you and why?" How would understanding "what matters" enhance our ability to transform health in communities and strengthen the connective process, leading to deeper levels of interaction and integration? In Client Partner Operations, we are deeply passionate about understanding what matters to people to ensure the delivery of Real-Person Care. We create an ecosystem that builds a foundation for better physical, social, and emotional health. Our Care Solutions, Analytics, Implementations, Clinical and Business Operations, and Learning and Development teams work tirelessly in partnership with our clients and stakeholders in communities to address the real-life healthcare needs people have every day.

As a Manager of Clinical Programs you will : Lead a collaborative multidisciplinary health care team (which includes community health workers, nurses, care coordination specialists, and licensed clinical social workers). Be responsible for oversight of daily care team functions, coordination/assignment of caseloads, contract/regulatory compliance for the model of care, continuous quality improvement initiatives, and for assuring optimal productivity and efficiency without compromising the quality of work. Under the direction of Navvis' VP Enterprise Ambulatory Operation and via dotted line reporting to the SVP Medical Director of Hawaii, offers subject matter expertise, provides guidance and support, and supervises all care team staff Be responsible for ongoing one-to-one meetings with the staff, individual development plans and performance reviews, corrective action as needed, and maintaining applicable documentation Establish accountability with staff to meet performance benchmarks, monitors operational and financial reports and metrics, conducts (or provides oversight) for monthly case audits, and implement performance improvement process as necessary Provide ongoing education and competence measurement for care team staff Provide oversight to assure all staff are adherent to policies, procedures, and regulatory standards, and to assure all tasks and paperwork are submitted within timeframe defined by standard operating procedures. Coordinate or provide oversight for the coordination and documentation of daily huddles, interdisciplinary team meetings, and PCP huddles Ensures the ongoing development and implementation of care management policies and procedures Collaborate effectively with internal and external stakeholders to ensure the effectiveness and efficiency of the programs Serves as liaison with HMSA departments. Remain up to date and communicate any changes in HMSA programs and benefits. Maintain documentation relative to the activities of the department and prepare reports as necessary, including those related to Quality Improvement activities. Keeps designated management aware of progress toward goals and productivity. Other essential duties as assigned.

A Day in the Life: The colleague will work in a HIPAA compliant work-from-home environment. Occasional extended hours may be necessary to meet tight deadlines, and the ability to work under time constraints is valued. Adaptability to various work scenarios and flexibility in adjusting schedules based on operational requirements are important attributes for the role.

What Success Looks Like in this Role: Critical thinking- using logic and reasoning to identify the strengths and weakness of alternative solutions, conclusions, or approaches to problems and the ability to manage multiple competing priorities Excellent customer service and effective communication skills Highly organized and self-motivated to work independently and manage schedules efficiently Ability to work with a diverse community in an empathetic, passionate and professional manner Comfortable with ambiguity and taking on a variety of tasks as needed

Requirements

Current unrestricted Hawaii RN license (Will consider candidates who can obtain a Hawaii RN license very quickly) 1-3 years of clinical experience 3-5 years of management/leadership experience Current valid drivers' license, and access to insured vehicle

We are excited about you if you have these things: Experience in ambulatory settings or care management Experience with NCQA standards BSN Graduate degree (MSN, MS Health Management, etc.) Certified Case Manager (CCM) BLS certified Expert computer skills with experience and comfort using technology for virtual communication, scheduling, and documentation (Including Microsoft applications) Reflective supervision Chronic disease self-management support Population Health Motivational interviewing Harm reduction Trauma informed care Healthcare and managed care industry fundamentals NCQA and CMS standards

What you'll get:

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won't find elsewhere We foster an environment and culture that allow people to be creative, feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Navvis, we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy, volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem, we support the whole person when you become a team member at Navvis.

Navvis offers a competitive benefits package including, but not limited to, medical, dental, vision, 401K with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.

Our Commitment:

Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at H.R@navvishealthcare.com. #J-18808-Ljbffr