About The Position

The Care Coordination Team Lead/Supervisor provides clinical supervision and management of the Population Health team. This role will assume responsibility for daily operations. The Care Coordination Team Lead/Supervisor applies system population health standards to identify and assign patients with uncontrolled chronic conditions and/or rising risk indicators and uses critical thinking and leadership skills in managing the team to meet patients and their families’ needs. This is a remote/work at home position. Hire must be able to work eastern time zone hours.

Requirements

  • Registered Nurse (required)
  • Associate’s Degree Nursing (required)
  • 2 years Care Management experience
  • Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting
  • Demonstrated proficiency with information systems technology, network development and design
  • Demonstrated ability to achieve metric goals
  • Demonstrated facilitation/training skills
  • Effective leadership skills and strong service orientation
  • Superior organizational, people management skills, strong communication and interpersonal skills
  • Demonstrated ability to interact with interdisciplinary teams
  • Proficient with Microsoft Suite, email, intranet, internet, and other systems
  • Training Epic Healthy Planet
  • Experience in community and payer care management
  • Knowledge of population health strategies

Nice To Haves

  • Certified Care Management Certification (preferred)
  • Bachelor's Degree Nursing (preferred)

Responsibilities

  • Provide day-to-day clinical oversight of ambulatory social workers, nursing personnel, and coordination of provider aftercare follow-ups.
  • Daily review of staffing, coverage issues, upcoming meetings, and any clinical/operational concerns.
  • Coverage assignments in the absence of team members.
  • Pull daily reports for transitions of care and make assignments as appropriate.
  • Act as a subject matter expert for the team for questions or support with workflow, resources, policies, and SOPs.
  • Assign members for case management as referrals are received.
  • Monitors CM caseloads for productivity and quality.
  • Leads training/orientation of new staff.
  • Assist with SOPs and policy development as needed.
  • Collaborate with local system quality, risk management, infection control, and clinical leaders.
  • Lead staff meetings.
  • Direct patient outreach and health promotion services.
  • Comprehensive assessment with required documentation.
  • Evaluation of effectiveness of care plan with IDT.
  • Medication reconciliation and adherence.
  • Patient and Family/Caregiver education.
  • Provide daily leadership, communication and supervision to managers and staff.

Benefits

  • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
  • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
  • Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
  • Tuition assistance, professional development and continuing education support
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