Ambulatory Manager - Care Management

Legacy Health • Portland, OR

19h • $86 - $130

About The Position

Overview 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. 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. Qualifications Education: 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. Experience: 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. Knowledge/Skills: 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. Licensure Certification/Licensure: 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. Pay Range USD $86.07 - USD $129.95 /Hr.

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.
• 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

• Career Level: Manager