Lead Community Healthcare Manager

2 weeks ago

Phoenix, Arizona, United States Adobe Population Health Full time
Job Overview

ABOUT ADOBE POPULATION HEALTH

Adobe Population Health (APH) is a women-owned health solutions organization established in 2018, dedicated to making a positive impact on the lives we serve. With a culture that promotes inclusivity and compassion, APH operates from its headquarters in Phoenix, AZ, alongside satellite offices across various states. The company has been recognized as one of America's Fastest-Growing Private Companies by Inc. 5000 and has received the Best Places to Work accolade from the Phoenix Business Journal multiple times.

APH provides tailored programs for insurance groups, healthcare providers, hospitals, and families, encompassing case management, wellness assessments, preventative care, transitional care, and social work services. As one of the few fully integrated healthcare providers in the nation, APH is expanding and seeks individuals eager to make a difference in the lives of those in need.

POSITION SUMMARY

The Lead Community Healthcare Manager at Adobe Population Health is responsible for overseeing the activities of community healthcare professionals, referred to as Care Navigators. This role is pivotal in ensuring that these professionals effectively contribute to patient care and enhance the efficiency of healthcare services. Responsibilities include coordinating schedules, managing patient flow, and ensuring adherence to healthcare regulations. The Lead Manager is committed to supporting all Care Navigators while maintaining high standards of care.

In this capacity, you will focus on the continuous training and development of your team, fostering a culture of quality improvement and leading by example. A significant aspect of this role involves traveling and shadowing Care Navigators in the field to ensure their success and to provide ongoing evaluations of process flows for performance enhancement.

The primary function of Care Navigators is to conduct in-home point-of-care testing aimed at closing HEDIS quality gaps and connecting patients with essential resources for their well-being. As the Lead Manager of Clinical Operations, you will serve as the main point of contact for the Care Navigator teams and act as the subject matter expert on all quality and operational initiatives affecting these teams. This includes conducting audits, reviewing member charts, and ensuring that patient care and quality outcomes remain the top priority.

This newly established position supports APH's growth and reports directly to the Senior Director of Quality.

KEY RESPONSIBILITIES
  • Achieve departmental objectives by managing staff, planning and evaluating departmental activities, and meeting key performance indicators.
  • Develop, coordinate, and enforce systems, policies, procedures, and productivity standards.
  • Supervise a team of over 30 Care Navigators in collaboration with Field Managers and Regional Leads.
  • Manage staff maintenance through interviewing, selecting, orienting, and training employees.
  • Facilitate personal growth opportunities; coach, counsel, and discipline staff as necessary; provide performance evaluations and communicate job expectations.
  • Continuously assess the competency of the Care Navigator Team and establish guidelines for expected competency levels, providing education and mentorship as needed.
  • Build positive relationships with clients, caregivers, practitioners, peers, and leadership.
  • Travel up to 40%, which may include overnight and multi-day visits for training and staff oversight.
  • Conduct in-home assessments on identified patients, adhering to established guidelines.
  • Educate staff on health conditions and clinical documentation, identifying urgent situations for appropriate clinical intervention.
  • Participate in the Quality Assurance Process Improvement initiative and represent the team in the Quality Committee.
  • Oversee patient chart audits to ensure accuracy, completeness, and compliance with regulatory requirements.
  • Identify documentation errors and implement corrective action plans.
  • Collaborate with the quality assurance team to refine audit processes and protocols.
  • Design and conduct training on documentation, compliance, and auditing procedures.
  • Provide ongoing education to Care Navigators on the importance of accurate documentation.
  • Conduct regular field visits to assess Care Navigators' performance and ensure adherence to documentation standards.
  • Address and resolve chart documentation issues promptly.
  • Ensure compliance with HIPAA regulations and maintain the security of protected health information (PHI).
  • Assume responsibility for personal growth by engaging in continuing education and professional development opportunities.
SKILLS & QUALIFICATIONS
  • Minimum of three (3) years of management experience.
  • Minimum of three (3) years of field experience.
  • Strong people management skills with the ability to manage remotely across multiple states and time zones.
  • Exceptional written and verbal communication skills with a strong customer service orientation.
  • Attention to detail and effective problem-solving abilities.
  • Flexibility to work varying hours, including evenings and weekends as needed.
  • Strong relationship-building skills, multitasking abilities, and a solutions-oriented mindset.
  • Ability to foster teamwork and develop cohesion among staff.
  • Capable of managing multiple assignments and adapting to changing conditions.
  • Dependability, results-driven approach, honesty, and a positive attitude.
  • Experience with Medicare Advantage, Medicaid, and Medicare HEDIS Quality Measures.
  • Proficiency in electronic medical records and documentation compliance.
  • Familiarity with technologies such as Microsoft 365, Excel, and Salesforce.
EDUCATION, LICENSES, & CERTIFICATIONS
  • Associate degree is strongly preferred.
  • Certified Medical Assistant certification is required.
  • Basic Life Support (BLS) certification is required.
  • Fingerprint clearance card is required.
BENEFITS & TOTAL REWARDS
  • Paid Orientation and Training.
  • Insurance – Medical, Dental, Vision, and Life.
  • 401k Plan – 3% match.
  • Employee Assistance Program.
  • Tuition Reimbursement.
  • Continued Education Support.
  • Mileage Reimbursement (if applicable).
  • Referral Bonuses.
  • Paid Holidays (9 days).
  • Paid Time Off (15 days).
  • Paid Volunteer Hours.

Company Overview

Adobe Population Health (formerly Adobe Care and Wellness) was founded in 2018 with a mission to positively impact the lives we serve. APH is one of the nation's few fully integrated healthcare providers, supporting multiple states with its corporate office in Phoenix, AZ, and satellite locations in Arizona, Nevada, and New Mexico. APH offers various support programs designed to provide care and technology that help track data, identify disparities, and close patient care gaps.

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