Manager - Clinical Care Coordination

Baptist Health Care • Pensacola, FL

7d

About The Position

The Manager - Clinical Care Coordination - Continuum of Care is responsible for the leadership, oversight, development, implementation, and ongoing management of the Continuum of Care program. The Manager provides direct supervision of Clinical Care Coordinators and serves as a clinical and operational leader supporting care coordination activities across the continuum including ambulatory settings, freestanding emergency departments, post-acute providers, community resources, and transitions of care. The Manager collaborates with physicians, advanced practice providers, operational leaders, population health teams, case management, social workers, quality, and community partners to improve care transitions, reduce avoidable utilization, enhance patient engagement, improve quality outcomes, and support organizational population health initiatives. The position functions as a working manager and may directly assist with high-risk patient care coordination activities, staff coverage, program development, and special projects. The Manager is accountable for program performance, staff development, quality outcomes, productivity monitoring, regulatory compliance, patient satisfaction, readmission reduction, emergency department utilization reduction, and achievement of organizational strategic goals.

Requirements

• Technical Diploma/Certificate Nursing Required or Associates Degree Nursing Required
• 3 years Clinical nursing experience. Required
• Registered Nurse Licensed State of Florida or eligible compact state Upon Hire Required
• Demonstrated leadership and team-building skills.
• Strong knowledge of care coordination, transitional care management, population health, and community resource management.
• Knowledge of reimbursement methodologies and quality performance measures.
• Ability to analyze data and utilize metrics to drive operational improvement.
• Strong critical thinking and clinical decision-making skills.
• Effective communication, presentation, and relationship-building skills.
• Ability to lead multidisciplinary teams and influence positive change.
• Knowledge of social determinants of health and community-based care resources.
• Strong organizational, project management, and problem-solving abilities.
• Ability to manage multiple priorities in a dynamic healthcare environment.
• Proficiency with electronic medical records and data reporting systems.

Nice To Haves

• 2 years Case management, care coordination, population health, utilization management, discharge planning, or transitional care management experience. Preferred
• 2 years Leadership, supervisory, charge nurse, project leadership, program coordination, or management experience. Preferred
• 3 years Experience working with high-risk populations, chronic disease management, readmission prevention, or community-based care coordination programs. Preferred

Responsibilities

• Collaborates with patients, families, physicians, advanced practice providers, free standing emergency department staff, ambulatory practices, post-acute providers, and community resources to coordinate care across the continuum and facilitate safe, efficient transitions between care settings and timely follow-up.
• Identifies patients at increased risk for hospitalization, readmission, emergency department utilization, poor health outcomes, or unmet social needs; develops and implements individualized care plans to address clinical, psychosocial, and resource needs.
• Assesses barriers to care, including social determinants of health, and connects patients with internal and external resources to support treatment adherence, self-management, access to care, and overall well-being.
• Serves as a clinical and operational resource for staff, providers, and leadership regarding care coordination, population health management, social determinants of health, and community resource utilization.
• Partners with organizational leaders to support strategic initiatives, value-based care objectives, population health programs, and departmental budget and resource planning.
• Ensures compliance with applicable regulatory, accreditation, payer, and organizational requirements governing care coordination and patient management activities.
• Performs direct care coordination or program support activities as needed to maintain operational effectiveness and ensure uninterrupted patient services.
• Maintains responsibility for department’s operational excellence; ensures department delivers quality services in accordance with applicable policies, procedures, and professional standards.
• Manages team members which includes orientation, development and evaluation of personnel, and monitoring the provision of delivering quality services. Participates in the recruiting, interviewing and selecting of team members following policies, guidelines and applicable laws. Evaluates their performance relative to job goals and requirements. Provides coaching to staff, recommends in-service education programs, and ensures adherence to internal policies and standards.
• Maintains responsibility for the fiscal management of department and assures proper utilization of organization’s financial resources.
• Effectively communicates departmental, organization, and industry information to staff.

Benefits

• Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.
• Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA. Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse [https://info.flclearinghouse.com/]

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree