About The Position

The Care Coordination Team Manager is a serving leader who is a clinical and operational link between clinical care strategy and the Clinical Care Coordinators, ensuring that there is clinical standardization and programmatic consistency throughout all locations. Interfaces with clinical care coordination team regularly and serves as the point of contact for Care Coordination activities. This position works with multiple entities to include nursing, market and network services, payer contacts, information technology, primary care and specialty care leadership, enterprise care coordination and other disciplines, as appropriate. Functions as a clinical care coordinator in coverage situations and ensures best practices across the program. A caregiver in this position works days, from 8:00am—4:30pm.

Requirements

  • Bachelor’s of Science in Nursing (BSN)
  • Current state licensure as a Registered Nurse (RN)
  • Five years of nursing experience and one year Care Coordination or Case Management experience
  • Supervisory or management experience
  • Basic Life Support (BLS) Certification through the American Heart Association (AHA) or American Red Cross

Nice To Haves

  • Master’s of Science in Nursing (MSN) in Healthcare or a related field
  • Two years of Leadership experience

Responsibilities

  • Monitor Care Coordination team's core competencies, clinical and utilization outcomes, quality metrics and outreach compliance.
  • Serve as the liaison between various payer programs, clinical care practices, market and network services and the care coordination teams.
  • Act as the key care coordination information and education resource for the interdisciplinary care team.
  • Maintain procedure manual, communicate changes and collaborate with clinical leadership on protocol review and changes.
  • Ensure workflow alignment with enterprise care coordination and payer’s quality and programmatic agreements.
  • Ensure care coordinator identifies, assesses, educates and coordinates care for the high and rising risk patients identified in the clinical setting, focusing on patient outreach and the goal of achieving optimal outcomes.
  • Ensure appropriate distribution of patient load and effective management of patient panel.
  • Provide leadership in hiring and onboarding of new nurses in collaboration with respective practice and interdisciplinary team.
  • Serve as a coach and mentor for all clinical care coordinators and contribute to and complete APRs.

Benefits

  • Endless support and appreciation
  • Rewarding career
  • Outstanding, comprehensive offerings are an investment in your health, well-being and future.
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