Manager of Care Management

Location: Philadelphia, Pennsylvania, United States

Notice

This position is no longer open.

157

Remote?: 1

Highlights (Bonus, shift, relocation, info for job):

The Manager of Care Management (MCM) is a key leader of the integrated care team. The role provides clinical and performance oversight of a care management team that is comprised of registered nurse care managers. This role understands the complexities of co-occurring conditions and social determinants of health (SDoH), how they impact the overall health and wellbeing of our members and strategically identifies and implements integrated processes to improve outcomes.

The MCM is responsible for the daily operations of the Care Management team based on key performance indicators that include reducing potentially preventable events (e.g., ER visits, hospital admissions (medical and readmissions), increasing medication adherence, stabilizing chronic conditions and improving self-management, overcoming barriers to care and SDoH needs including housing, food and financial instabilities, increasing member engagement with community resources, and member retention.

Duties and Responsibilities:

  • Lead a care management team comprised of licensed registered nurses.
  • Closely collaborate with behavioral health counterparts to deliver integrated care under a collaborative care model through interdisciplinary care team meetings, case consultations, etc. 
  • Analyze data to design, implement and measure processes that increase positive health outcomes as evidenced by overall health care cost and utilization reduction 

Why AbsoluteCare?

AbsoluteCare offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer from behavioral health, substance use, and SDoH challenges. We use population health management tools to employ a holistic approach to caring for the highest utilizers of healthcare services in our comprehensive care centers and in the community. AbsoluteCare tends exclusively to the needs of the top four to six percent of the population who persistently represent a disproportionate amount of unnecessary utilization and cost, regardless of whether they are engaged with other PCPs. In our more than 20 years of service, AbsoluteCare has focused on fulfilling the needs of this population. And we have consistently achieved unprecedented outcomes by addressing medical and psychosocial issues, in addition to the hardships of life that can exacerbate chronic health conditions and complicate access to care.

Our Values:
• Accountability – We have the integrity to do what we say we will do
• Caring – The needs of our team and members matter
• Trust – Our members can rely on us
• Teamwork – We act together as one inclusive group

AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

EEO Employer Verbiage: AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

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