Manager, Care Management, RN

Careforth

1d•Hybrid

About The Position

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond. Reporting to the Senior Manager, Care Management. This is a mostly remote position with occasional travel to Boston ,Chinatown, Dorchester, and surrounding areas. This person is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals, keeping care at home. This individual ensures the delivery of high-quality services in compliance with all state, program, and accreditation requirements. This individual will manage a team of clinical and non-clinical care managers, providing case management services across the continuum of care. In collaboration with key stakeholders, this individual will create action plans in support of quality improvement efforts and positive health outcomes.

Requirements

Bachelor’s degree or equivalent work experience preferably in a health care or social services discipline is required along with 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare, and/or people with disabilities or other complex medical needs
3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management
Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required
Working knowledge of case management systems, community service and delivery systems, and proficiency with Microsoft Office suite.

Nice To Haves

An active RN license preferred.

Responsibilities

Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home.
Oversee care management functions and ensure consistency and compliance with clinical policy, procedure and best practices, including regulatory and contractual agreements as well as NCQA accreditation requirements
Lead, coach and develop staff to meet department goals, ensuring key performance indicators and goals are reviewed regularly in support of a high performance / high engagement work environment
Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning
Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied
Track and trend outcomes for potential improvements in the care management process. Create monitors, evaluate and disseminate programmatic reports weekly, monthly, and as needed
Provide oversight for the appropriate use of tools and person-centered care plans to support caregiver and care recipient needs; provide regular review of incidents to identify cause and recommend interventions
Support and maintain clinical relationships with key external business partners and referral sources to increase care collaboration and foster credibility in our services
Review and analyze data (e.g. hospitalization rates, falls, incidents, activation, suspension, and discharge rates) and engage care management team to determine improvement opportunities and manage interventions
Perform other duties and special projects as assigned