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Care Coordination Manager

2 months ago


Manchester, New Hampshire, United States Dartmouth Health Full time
Overview

Facilitates the oversight of health conditions, aiming to achieve measurable improvements in the patient's health outcomes.

Responsibilities


Oversees and orchestrates interdisciplinary care for designated populations throughout the care continuum, from wellness to end-of-life considerations, focusing on psychological, social, and environmental factors.


Identifies patients at high risk who require ongoing care coordination; conducts thorough assessments of patients and their families, formulates a comprehensive treatment strategy that addresses a range of psychosocial issues, and implements a care plan that ensures continuous support and coordination for patients and families with complex needs. This includes managing benefits and negotiating care services for individuals enrolled in various health insurance programs.


Employs innovative approaches to advocate for patient requirements and navigates complex systems to eliminate barriers in accessing healthcare related to psychological, social, and environmental aspects.

Monitors the patient's transition across various care environments (e.g., home, clinic, skilled nursing facility, rehabilitation, hospital, etc.).


Shares assessment data and care plans regarding psychological, social, and environmental factors with patient and family consent as the patient transitions through different care settings.


Identifies deficiencies in the care continuum and collaborates with community and provider networks to enhance access to essential psychological, social, and environmental services.

Engages in the formulation of disease management strategies and determines appropriate metrics for evaluating outcomes.


Contributes to the development, maintenance, and coordination of an interdisciplinary care delivery framework tailored to individual patient needs, promoting effective resource utilization.

Collects and analyzes data/outcomes, including but not limited to patient satisfaction, health status, and resource utilization.

Qualifications

Master's Degree in Social Work (MSW) with a minimum of 5 years of clinical experience is required.


Desired skills include critical thinking, strong leadership and communication abilities, self-motivation, negotiation skills, and conflict resolution capabilities.

Proficiency in computer usage is preferred.


A collaborative team player who employs a systems approach in planning, problem-solving, and decision-making, with qualities such as creativity, innovation, risk-taking, autonomy, flexibility, receptiveness to change, and a commitment to professional development.

Required Licensure/Certifications

None

Area of Interest:
Allied Health;

FTE/Hours per pay period:
hrs/per week;

Shift:
Day;

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.


Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.

We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.