Manager, Care Management

NeueHealth•Remote, CA

5d•$95,554 - $143,332•Onsite

About The Position

NeueHealth is a value-driven healthcare company focused on providing high-quality, coordinated care. We aim to make healthcare accessible and affordable across various markets by aligning the interests of consumers, providers, and payors. We deliver clinical care through our owned clinics and partnerships, and we support providers in performance-based arrangements with technology and services. Our goal is to transform healthcare and improve the care experience for everyone.

Requirements

Minimum 1 year experience in a supervisory capacity
Minimum 5 years’ experience in medical management (Case Management, Utilization Management)
Active and unrestricted California license as a Registered Nurse (RN)
High Attention to detail and Strong analytical skills
High level of critical thinking and problem-solving skills
Strong work ethic and overall positive attitude
Effective communication skills including verbal and written
Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
Demonstrated flexibility, organization, and self-motivation
Highly adaptable to change

Nice To Haves

Bachelor’s degree in nursing, Business, or other related Healthcare field preferred
Certified Case Management preferred
Training experience preferred
EZ Care proficiency

Responsibilities

Direct management of clinical staff supporting Neuehealth’s clinical programs.
Day-to-day supervision of assigned Care Management staff.
Monitoring consistent application of CM standards of care by staff for each level and type of CM decisions.
Monitoring documentation for adequacy.
Ensuring clinical teams are aligned with the NeueHealth Model of Care.
Performing the functions of the clinical teams to which the supervisor has direct reporting responsibility, based on scope of practice.
Responsible for performance and outcome monitoring data at defined intervals that accurately reflects clinical program activities, key performance indicators and workplans where applicable.
Supporting clinical director in the development of performance improvement plans based on deficiencies in key performance indicators.
Supporting onboarding training and continued education for clinical staff and care partners.
Ensuring the model of care is consistently applied throughout clinical services.
Completing value stream mapping and desktop procedures to ensure program standardization.
Supporting clinical directors in conducting care team meetings for care partners.
Adhering to the Policies and Procedures set forth by the Quality Management Committee and performing all additional duties as assigned.