Senior Manager, Care Management
2 weeks ago
Careforth is a pioneering organization in the caregiving space, dedicated to supporting family caregivers across the United States. Our mission is to empower caregivers to confidently care for their loved ones at home, providing them with the support, guidance, and resources they need to succeed.
Job SummaryWe are seeking a highly skilled and experienced Senior Manager, Care Management to join our team. In this role, you will provide leadership and direction to drive the delivery of high-quality and cost-effective care coordination and services for an assigned population served within our Structured Family Caregiving program.
Key Responsibilities- Oversee the delivery of care management programs, including management and oversight of interdisciplinary care management teams and care management models for an assigned geography.
- Implement and ensure compliance with policies, procedures, and other protocols that guide the consistent and quality delivery of clinical services for all populations served.
- Ensure compliance with internal and external regulatory requirements and professional practice standards toward consumer and caregiver assessment, care planning, interventions, and ongoing evaluation of consumer and caregiver outcomes.
- Oversee quality and performance improvement initiatives associated with program evaluation or mandated by regulatory and contract requirements for an assigned geography.
- Monitor trends and develop metrics to identify and prioritize opportunities to improve clinical, quality, and fiscal outcomes; develop solutions and mitigation plans in collaboration with leadership team.
- Lead, coach, and mentor staff, promoting an environment of high performance and engagement, growth, and collaboration.
- Bachelor's degree or equivalent, preferably in a healthcare or social services discipline, along with a minimum of 7+ years of progressive experience in care/disease management, working with complex populations, specifically older adults and/or individuals with disabilities.
- 5+ years of management experience.
- Comprehensive knowledge/experience in managing Medicaid services, particularly LTSS services, preferred.
- An active RN license is strongly preferred. Additional state-specific qualifications may be required.
- Ability to travel (usually by automobile) within assigned geographic area; valid driver's license and automobile insurance required.
- Strong working knowledge of case management systems, community service and delivery systems, as well as Microsoft Office suite.
Careforth is an award-winning organization that improves health outcomes, keeps care at home longer, and provides financial benefits to caregivers and cost savings to state agencies and health plans. We understand the challenges of caregiving and are committed to supporting family caregivers at every turn.
Caregivers play a critical role in the future of healthcare-and so can you.
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New London, Connecticut, United States Careforth Full timeAbout UsCareforth is a pioneering organization in the caregiving space, dedicated to supporting family caregivers across the United States. Our mission is to empower caregivers to confidently care for their loved ones at home, providing them with the support, guidance, and resources they need to succeed.Job SummaryWe are seeking a highly skilled and...
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