Ambulatory Manager - Care Management

Legacy Health • Portland, OR

9h • $86 - $130

About The Position

Are you passionate about leading Care Management operations that make a meaningful impact across multiple medical group practices and clinics? At Legacy, we are seeking a dedicated professional to manage the daily clinical and administrative responsibilities of our Care Management team. In this role, you will champion patient-centered, quality health care for populations with both acute and chronic conditions, ensuring financial stewardship and staff development in partnership with clinic managers. You’ll also play a pivotal part in collaborating with community-based programs and providers, fostering seamless transitions of care and optimal outcomes for our patients. If you see yourself as a leader who thrives in such an environment, we invite you to explore this exciting opportunity with us.

Requirements

• An academic degree in nursing is required.
• A bachelor’s in nursing with a master’s in nursing or healthcare related field of study must be either in place or candidates must be scheduled to commence this program within 6 months of hire. Candidate must make meaningful progress toward completion of the master’s degree.
• Exceptions to the BSN requirement may be made for candidates with an associate degree attending a direct entry master’s program in nursing and are within one year of graduation; it is understood that they are at the BSN level once they are within a year of graduation, thereby meeting the BSN requirement.
• Minimum of four years of clinical medical experience required.
• One of the 4 years of clinical experience must be related to Case Management including: previous payor experience, utilization management, ambulatory care coordination, and/or community/transitions planning experience.
• Progressive leadership experience required with demonstrated results.
• Basic knowledge of clinical operations, Lean principles/workflow planning, staffing, and scheduling, budget and resource management, data analysis, and continuous quality improvement.
• Demonstrated knowledge of six core components of case management: Psychosocial aspects Healthcare reimbursement Rehabilitation Healthcare management and delivery Principles of practice i.e., CMS guidelines, medical necessity criteria Case Management concepts
• Excellent organization, oral and written communication skills for effective interaction with staff and other stakeholders.
• Demonstrated coaching and staff development skills.
• Proficient statistical analytic skills.
• Working knowledge of: Transition planning across the continuum. Health care reimbursement. Utilization management processes, including medical necessity and CMS guidelines. Regulatory issues. Community resources.
• Able to link care management initiatives to organizational strategic goals and objectives.
• Health literate oral and written communication skills as well as public speaking proficiency.
• Strong and effective conflict resolution skills.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Current Washington and Oregon RN licensure required.
• New applicants as well as current employees will have six months to obtain either Washington or Oregon licensure. At least one licensure is required at the time of hire.

Responsibilities

• Manages the day-to-day Care Management operations for multiple medical group practices and clinics throughout the organization.
• Provides clinical and administrative leadership for the Care Management team, which is charged with the provision of comprehensive, patient-centered, quality health care for patient populations with acute and chronic health conditions across the continuum.
• Manages and directs Care Management staff in partnership with clinic managers, assuring financial/budgetary stewardship and efficient use of resources, and providing appropriate staff development, coaching, and mentoring.
• Integrates with other site leadership to foster seamless transitions of care and optimal patient outcomes across the continuum.
• Represents Legacy in the community and collaborates effectively with community-based programs, services, and providers.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager