Senior Care Coordination Manager

Found in: Resume Library US A2 - 3 weeks ago

Chicago Illinois, United States The University of Chicago Medicine Full time
Job Description:
The Center for Transformative Care (CTC) at the University of Chicago Medicine (UCM) supports the development and deployment of UCM’s efforts and clinical programs related to value-based care. The goal of the CTC is to help UCM succeed in the transformation into a value-based care organization by operationalizing and scaling key clinical and administrative capabilities to support value-based care functions across the clinically integrated network, while remaining nimble and forward-looking so that UCM can adapt to the changing healthcare landscape.

 

As an integral member of the CTC, the Senior Care Coordination Manager provides leadership and strategic perspective to the University of Chicago’s Ambulatory Care Coordination Team at UCMC and Ingalls Memorial Hospital, including all employed and affiliated ambulatory clinics. The Senior Care Coordination Manager is responsible for managing and leading a multidisciplinary care team composed of social workers, nurses and community health workers to provide effective, efficient care coordination across approximately 30 primary care sites in the health systems. The Senior Care Coordination Manager uses data from performance in value based care contracts to develop interventions and programmatic activities that will improve the quality of care and reduce the cost of high risk patients in the clinically integrated network. The Senior Care Coordination Manager leads the day to day activities of the care coordinators, including scheduling, case assignment, mentoring and problem solving.

 

The Senior Care Coordination Manager works collaboratively with all members of the multi disciplinary team at all primary care sites to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers as contracted. The Senior Care Coordination Manager is responsible for maintaining hospital compliance with the Quality Improvement Organization (QIO) series, CMS, and other payer guidelines. The position is responsible for ensuring that all ambulatory care coordination activities for the healthy system comply with government and payer requirements. The incumbent performs duties and tasks in accordance with performance standards established for the job. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position. The incumbent conducts all job responsibilities according to the Mission and Values of the Hospital.

 

QUALIFICATIONS

Registered Nurse with a valid, unrestricted State license, Bachelors degree in Nursing or related health field, minimum of five to eight years of relevant clinical experience required. Minimum of 3 years experience in ambulatory/high risk care coordination required. Certification in case management and or utilization review required.

 

Work independently using the professional skills listed below:

 Excellent verbal and written communication skills.

 Excellent critical thinking and problem solving skills.

 Judgment and priority setting

 Ability to act in an autonomous, self directed manner

 Ability to receive multiple stimuli from multiple sources simultaneously

 Time management

 Organization and delegation

 Negotiation and conflict resolution

 

Must possess the following personal qualities:

 Be self-directed

 Be flexible and committed to the team concept

 Demonstrate teamwork, initiative and willingness to learn

 Be open to new learning experiences

 Accepts and respects diversity without judgment

 Demonstrates customer service values

 

 

LICENSES/CERTIFICATIONS

Registered Nurse with a valid, unrestricted State license, Bachelors degree in Nursing or related health field, minimum of five to eight years and certification in case management and or utilization review required

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