Clinical Care Manager

2 weeks ago


Washington, United States American Health Care Association Full time

AHCA/NCAL is seeking a Clinical Care Manager to improve lives by delivering solutions for quality care by providing clinical consulting and support services to AHCA/NCAL Solutions contracted networks.

Qualifications & Skills:

Bachelor’s degree required. Clinical training, registered nurse with MDS and/or survey management, preferred. Minimum five years’ work experience in healthcare setting, post-acute/long term care preferred. Experience in an association or other membership organization preferred. This position requires 10-25% travel within Florida.

Duties & Responsibilities :

Identify, define, and participate in quality improvement initiatives that improve quality outcomes and provider performance in value-based managed care contracts. Provide network members with the information, tools, and resources to comply with network quality program and quality contracts. Assist network member providers in implementing care protocols and meeting quality goals. Provide in-person training and educational sessions. Identify, develop, and participate in measuring adherence to quality program requirements development by individual networks, which may include clinical protocols, quality measurement, or other requirements. Develop strategies, initiatives, and projects to improve how care is delivered and measured. Provide guidance to network facility staff to administer high caliber patient care on a consistent basis. Staff network quality committees, providing clinical leadership, expert knowledge, analysis, and support to facilitate achievement of committee goals. Present to state and/or national conferences and conventions in areas of expertise. Other special projects and duties as assigned.

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