Manager, Care Management

• Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home.
• Oversee care management functions and ensure consistency and compliance with clinical policy, procedure and best practices, including regulatory and contractual agreements as well as NCQA accreditation requirements
• Lead, coach and develop staff to meet department goals, ensuring key performance indicators and goals are reviewed regularly in support of a high performance / high engagement work environment
• Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning
• Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied
• Track and trend outcomes for potential improvements in the care management process. Create monitors, evaluate and disseminate programmatic reports weekly, monthly, and as needed
• Provide oversight for the appropriate use of tools and person-centered care plans to support caregiver and care recipient needs; provide regular review of incidents to identify cause and recommend interventions
• Support and maintain clinical relationships with key external business partners and referral sources to increase care collaboration and foster credibility in our services
• Review and analyze data (e.g. hospitalization rates, falls, incidents, activation, suspension, and discharge rates) and engage care management team to determine improvement opportunities and manage interventions
• Perform other duties and special projects as assigned

• Bachelor’s degree or equivalent work experience preferably in a health care or social services discipline is required along with 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare, and/or people with disabilities or other complex medical needs
• 3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management
• An active RN license is strongly preferred. Additional state-specific qualifications may be required.
• Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required
• Working knowledge of case management systems, community service and delivery systems, and proficiency with Microsoft Office suite.

Caregiver Homes