Care Management Director

6 days ago


Glen Allen, Virginia, United States CenterWell Home Health Full time
About the Role

We are seeking a highly skilled Care Management Director to join our team at CenterWell Home Health. As a key member of our leadership team, you will be responsible for overseeing the assessment and evaluation of members' physical health needs and requirements.

Key Responsibilities
  • Lead teams of nurses and behavior health professionals in care management
  • Apply advanced technical knowledge to solve moderately complex problems
  • Oversee the assessment and evaluation of members' physical health needs and requirements
  • Makes decisions related to resources, approach, and tactical operations for projects and initiatives
  • Conducts briefings, area meetings, and maintains frequent contact with other managers across the department
  • Reviews processes to support contractual guidelines and adjusts accordingly
  • Collects and analyzes performance reports on care management functions
Requirements
  • Must reside in the commonwealth of Virginia or within a 40-mile radius from Virginia in a bordering state/district
  • Active, unrestricted Registered Nurse (RN) license or Licensed Mental Health Professional (LMHP) in the Commonwealth of Virginia
  • Three (3) or more years of professional experience in Care Management, specifically in the delivery of care for the physical health needs of members in Medicaid and/or Medicare
  • Experience working with adult and/or pediatric populations with mild to complex needs
  • Two (2) or more years of management or supervisory experience
Preferred Qualifications
  • Advanced degree in nursing or related field
  • Three (3) or more years of previous experience working in a managed care field
  • Previous experience in a field-based or homecare-based role
  • Experience with transitions of care model and chronic illnesses
  • Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other
About Us

CenterWell Home Health is committed to putting health first – for our teammates, our customers, and our company. We make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Benefits

We offer competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and many other opportunities.



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