Manager of Care Management

MAHEC is growing to support the care management needs of our expanding patient population If you have a background in Nursing and/or are an LCSW with deep passion for building a successful and streamlined framework of value-based patient centered care, then we'd love to speak with you Join a passionate, collaborative team focused on improving accessibility to high quality patient centered integrated healthcare to WNC. MAHEC offers a highly impactful work environment, and competitive Total Rewards including great PTO and work life balance. Make a difference with us and apply todayJob Summary:This role is responsible is responsible for the development, implementation, and supervision of the Care Management team members, assisting with the design, launch and oversight of care management services to improve patient care and performance on population health goals. This position is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders. Assists with the design and implementation of new initiatives to improve the quality of care within the health system, and other projects as they pertain to population health and care delivery across the network. As part of MAHEC team, the leader will strive to build patient centered care, bridge community strengths, and integrate partners to improve patient health and health equity.Specific Responsibilities:Supervises Care Management Team MembersIdentifies, hires, on-boards and supervises Care Management staff to include to provide care coordination and disease management across the organizationEvaluates competencies for clinical care management staff and assesses performance based on the goals and initiatives of MAHEC's Population Health strategyIdentifies training needs and provides opportunities for staff to receive continuing education and ongoing professional development.Ensures department policies and procedures are current and support current practicesDevelops and recognizes staff through coaching, planning, training, appraising, and counselingCreates intentional plans for leadership development of leaders and provides coaching for successAssist with and guide direct reports with development and implementation of the patients' care plansDevelop and monitor effective use of EHR and Care Management systems including patient registries and risk stratificationappropriateAssist with and guide direct reports with development and implementation of the patients' care plansDevelop and monitor effectiveness of EHR and Care Management systems including patient registries and risk stratificationCare Management DesignCollaborates with clinical leaders to design the MAHEC Care Management strategy for the organization to include identification of a risk stratification tool and other tools necessary to identify and manage a high-risk populationWorks with Informatics to develop the documentation strategy for the care management teamAssists in implementation of strategies across the organizationSupports Care Management team in developing workflows to meet contractual requirements with payors, including delegated care management servicesCollaborates with clinical leaders to determine best practice for use of health coaches, pharmacists, RN's and others in the work of achieving higher quality in the regionAssists with population health project managementDevelops, implements, and manages workflows to assure safe handoff of patients between care managers / levels of careAttends and participates actively in system meetings that focus on improving collaboration in the care of patients during transitions of care and in the ambulatory settingEnsures alignment in processes among care management and other clinical teamsProvides supervision, education, and support for collaborating clinical team membersCollaborate with MAHEC's QI, central billing office (CBO) and audit team to perform regular claim review and educationQuality ImprovementEvaluates, designs, and provides support for development of workflows and instruction on the clinical documentation tools for MAHEC Care ManagementUtilizes research and implements evidence based best practices in designing care modelsSupports clinical operations team to participate in initiatives to meet quality goals of payor contractsEvaluates new tools based on the balance of cost/benefit from a clinical and organizational perspectiveDemonstrates knowledge of effective quality improvement and change management techniques and leads the implementation of new models of care management in an effective manner achieving organizational goals and outcomesKEY COMPETENCIES: Communication Skills Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient's family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families. Decision Making Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time. HealthCare Knowledge Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC's organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate. Interpersonal Skills Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others. Organizational Values Adherence to MAHEC's founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need. Problem Solving Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change. PHYSICAL DEMANDS Not Applicable. SUPERVISORY RESPONSIBILITIES: Supervises Care Management roles in collaboration with the Director of NursingEDUCATION and/or EXPERIENCE:Minimum QualificationsMasters in a Behavioral Health field such as Social Work, Counseling, Substance Use, Psychology and maintain a license in field of study (LCSW, LCMHC, LCAS etc.)orBachelor of Science in Nursing, RN, must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse License Compact) NCBON, or meets these qualifications in the first 18 months (about 1 and a half years) in the roleAnd 3 years related experience and/or training; or equivalent combination of education and experience.Preferred QualificationsMaintains nationally recognized certification in Case/Care Management, such as ACM, CCM or ANA certification)SCHEDULE: Regular attendance on-site is an essential function of this position. Typical business hours are Monday - Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.POSITION COMPENSATION:$71,500 annually, exempt + Full-Time Total Rewards packageAt MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive. All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. Black, Indigenous, People of Color and Spanish/English bilingual persons are strongly encouraged to apply. With this in mind, studies show that women, gender diverse, and BIPOC candidates are less likely to apply unless they meet all of the qualifications listed in the job description.If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to AskTalent@mahec.net for support in your job search process. You could be the talent we are seeking for this or other opportunities.