Clinical Manager Care Management Org

Montefiore Health System • Norfolk, VA

2d • $120,000 - $150,000 • Onsite

About The Position

The Clinical Manager has responsibility for the day to day operations of the multidisciplinary teams created to implement organizational programs. The Clinical Manager supervises nursing, social work, administrative and other professional staff. The Manager ensures that appropriate actions are taken consistent with developed policies and procedures and using available automated systems (e.g. EPIC, CIS, tele-monitoring devices, etc.). The Clinical Manager assists in development of policies, procedures and work flows; monitors work flow and staff effectiveness; assures that appropriate interventions are offered to enrolled beneficiaries & members; assists in program monitoring; and identifies and assists in resolving barriers to successful implementation of the Care Management/ Utilization Management Programs. Position supports staff development and training.

Requirements

• Bachelor degree in nursing or a health-related field.
• Current active license/registration in New York State as applicable and additional state licenses/registration (NJ, CT, etc.) as required by Program.
• 5 years of clinical practice, preferably including at least 2 years in an outpatient setting.
• Minimum 2 years of supervisory experience.
• Knowledge of Medicare & Medicaid benefits and guidelines.
• Knowledge of case management concepts.
• Knowledge of quality improvement techniques.

Nice To Haves

• Masters degree preferred.
• Medical Management experience in a managed health care setting preferred.
• Professional certification in Case Management, Utilization Management, or Quality Management preferred.

Responsibilities

• Oversee day-to-day operations of multidisciplinary teams for program implementation.
• Supervise nursing, social work, administrative, and other professional staff.
• Ensure actions are consistent with policies, procedures, and automated systems (EPIC, CIS, tele-monitoring devices).
• Assist in the development of policies, procedures, and work flows.
• Monitor workflow and staff effectiveness.
• Ensure appropriate interventions are offered to enrolled beneficiaries and members.
• Assist in program monitoring.
• Identify and assist in resolving barriers to successful implementation of Care Management/Utilization Management Programs.
• Support staff development and training.

What This Job Offers

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