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Director of Chronic Care Management

2 months ago

Novi, Michigan, United States Theoria Medical Full time
Job Summary

We are seeking a highly skilled and experienced Director of Chronic Care Management to lead our team in delivering high-quality care to patients with chronic conditions. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of the CCM team, ensuring effective coordination and communication across all levels.

Key Responsibilities
  • Team Leadership: Oversee the Chronic Care Management (CCM) team, including Clinical Care Specialists (CCS), ensuring effective coordination and communication across all levels.
  • Operational Management: Manage the day-to-day operations of the CCM team, ensuring that patient care is delivered in a timely and efficient manner.
  • Care Plan Oversight: Supervise the creation and management of individualized Care Plans for patients with chronic conditions, ensuring they are up-to-date and accurately tracked.
  • Metrics & Performance Management: Monitor key performance indicators (KPIs) such as patient engagement, care plan adherence, and health outcomes to ensure the CCM team meets established goals.
  • Quality Improvement Initiatives: Lead process improvement and quality control efforts to enhance the effectiveness of CCM services and patient care outcomes.
  • Regulatory Compliance: Ensure that all CCM activities are compliant with applicable regulatory standards, including CMS guidelines for Chronic Care Management and Transitional Care Management.
  • Training & Development: Provide ongoing training and support to the CCM team, ensuring they are equipped with the latest knowledge and tools to deliver high-quality care.
  • Patient & Stakeholder Communication: Facilitate effective communication between patients, their families, and the healthcare team, ensuring that all parties are informed and engaged in the care process.
  • Technology Utilization: Leverage electronic health records (EHR) and other healthcare technology to enhance care coordination, patient tracking, and documentation.
  • Strategic Planning: Collaborate with senior leadership to develop and implement strategies that align CCM services with organizational goals and objectives.
Requirements and Qualifications
  • Must possess an RN, NP, PA, or MD license
  • Excellent communication and time management skills required
  • Minimum 5 years of experience in nursing or a related clinical role, with at least 2 years in a leadership or management position.
  • Strong understanding of Chronic Care Management (CCM), including regulatory requirements and best practices.
  • Experience in managing remote teams and telephonic case management.
  • Proficiency in healthcare technology, including EHR systems and care coordination tools.
  • Excellent communication, critical thinking, and problem-solving skills.
  • Demonstrated ability to lead and motivate a team, fostering a positive and productive work environment.
  • Autonomous, independent worker with a strong understanding of healthcare staffing and needs.
Compensation and Benefits
  • Base Salary: Up to $135,000 per year
  • Retirement: 401k with employer match
  • Health Coverage: Comprehensive Medical, Dental, Vision, and Life Insurance
  • PTO: Generous Paid Time Off
  • Additional Perks: Remote work flexibility, technology stipend, and more