Care Management Director

11 hours ago


Washington, Washington, D.C., United States Unity Health Care. Full time
Job Title: Director of Care Management

Unity Health Care is seeking a highly skilled and experienced Director of Care Management to lead our Care Management team. As a key member of our leadership team, you will be responsible for overseeing the development and implementation of our care management program, ensuring patients with chronic health conditions or special needs have access to care management at UHC.

Key Responsibilities:
  • Supervise and manage the Care Management team, including nurses and medical assistants.
  • Develop and implement the nursing care management program, ensuring compliance with PCMH clinical teams, My Health GPS, virtual care teams, and the transition of care team.
  • Lead the nurse care management team in managing the effectiveness of the patient-centered medical home delivery model, including evaluating program outcomes and individual staff productivity and performance.
  • Manage staffing, activities, and data to impact strategic objectives and pay-for-performance goals, focusing on reducing unnecessary utilization of emergency rooms, avoidable hospitalization, and avoidable readmissions.
  • Provide leadership and vision in strategies to improve health outcomes and address social determinants of health in collaboration with case management.
  • Ensure program integrity and excellence by ensuring activities are informed by evidence-based practices.
Requirements:
  • Bachelor's degree in Nursing (BSN). Master's degree in Nursing, Education, and/or health-related field preferred.
  • Care management experience highly preferred.
  • Experience with working with MCOs required.
  • Current DC RN license.
  • CPR Certification.
  • Five (5) years of clinical experience with three (3) years management/supervisory experience.
  • Additional background in healthcare management preferred.
Preferred Qualifications:
  • Ability to articulate the mission of Unity Health Care through his/her work.
  • Demonstrated proficiency with business software (e.g., Microsoft Office Suite).
  • Experience using electronic medical records preferred.
  • Independent decision maker and able to lead and manage people in a motivational and constructive way, individually and in a group setting.
  • Knowledge of primary care and health maintenance.
  • Strong verbal and written communication skills required.
  • Strong organizational skills with an ability to multitask.
  • Demonstrates ability to function effectively in a team required.
  • Ability to travel between UHC sites or relocate to a different UHC site on a full or part-time basis required.
  • Ability to work some weekends if needed; flexibility required.
  • Available to work on-site with some opportunities to work remotely.
  • Excellent work ethic, good people management skills, and the ability to perform well in stressful situations.
  • Demonstrated ability to effectively work and communicate with diverse populations.

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