Clinical Care Manager

2 weeks ago

Eugene, Oregon, United States Healthmap Solutions Full time $90,000 - $120,000 per year

Position Summary

The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmap's Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.

Responsibilities 

Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)Develop new provider/partner business relationships that serve as means to better Healthmap provider and member engagement and manage assigned caseloadIdentify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific dataIncorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performanceIdentify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc. Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in program Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy  Serve as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the member's support network, treating physician, and ancillary providers to assist members in meeting individualized goalsAccountable for individual and departmental metrics and key performance indicators as identified by the organizationEnsure timely and successful delivery of reports to internal and external stakeholdersMaintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulationsPerform other related duties as assigned

Requirements

Bachelor's degree requiredActive, unrestricted RN license requiredBasic Life Support (BLS) certification requiredAdvanced Cardiovascular Life Support (ACLS) certification (based on role)3+ years of progressive experience in healthcare services, clinical operations, quality, or care management3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferredPrior experience building and managing relationships with health care providers or patients preferredProof of valid and unrestricted driver's license required; this position requires regular travel within assigned region to support practicesMust reside in one of the assigned states Must comply with organization policies for health screening and immunizations, including but not limited to: 
  • Current Tuberculosis (TB) test or current chest X-ray
  • Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
  • Participation in annual health and wellness screenings

Skills 

Excellent verbal, written and presentation skillsInterpersonal skills to develop and maintain strong internal and external relationships Ability to multitask, prioritize, and create solutions in a fast-paced environmentDemonstrated leadership skills and ability to create and maintain a positive work environmentStrong critical thinking and analytical skills Ability to foster strong employee engagement among the teamMust be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

Heavy Travel, greater than 50%, across your assigned region.

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