Manager of Care Management

599

Remote?: 0

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

Monday through Friday, 8-5 with hour lunch, no weekends, no on-call, with paid holiday time off and paid CEU.

Job Summary:

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 

Education & Experience Requirements:

• Clinically licensed in the state of practice with 5+ years of supervisory experience in care management related field including insurance case management, hospital case management or ambulatory care management:
  • Licenses may include RN, CNS, APN
  • Certifications ACM, CCM, RN-BC, CCCTM will be given preference
  • Qualified clinical supervisors will be given preference
• 3+ years of experience in a community mental health center, managed care organization, FQHC, inpatient facility or other setting that serves clientele with complex medical needs
• Advanced computer skills with proficiency in Outlook, Word, Power Point, Excel
• Experience working in multiple electronic health records

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer. 

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works. 

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT².

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.