Remote Divisional Manager, Care Integration Team

CenterWell

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Req Number: R-322502
Category: Nurse Aide
Posted Date: November 7, 2023
Location Type: Remote

Work Location: TX
Location Type: Remote

Description

 

Our Organization
Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 270 centers serving over 250,000 patients. As a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model supporting patients’ physical, emotional, and social wellbeing.

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

 

Responsibilities

The Role

The Care Integration Team Divisional Manager is responsible for managing a team of licensed social workers, nurses, and community health workers all collaborating to deliver a whole person health approach to patient care.  The Divisional Manager is responsible for providing clinical guidance, supervision, and overarching direction to associates on the team, as well as ensuring key performance metrics are being driven toward and communicating those results with leadership.  The Manager will utilize advanced clinical acumen, experience, and knowledge to lead this multidisciplinary team.

 

As a guideline, this role involves spending 70% of the time on operational excellence and program delivery, 30% on relationships.

 

Major Duties and Responsibilities

  • Oversees day-to-day operations, recruiting/hiring, team management, and overall performance for Divisional pool.
  • Enacts quality review process to ensure proper clinical care is being provided and documented accordingly.
  • Ensures clinical program integrity and addresses performance and program improvement opportunities, escalating to Divisional Director as appropriate.
  • Provide clinical education and training to team as needed.
  • Support team in case consultation and clinical escalations as needed.
  • Engages with leadership at the market and national level to report out on team metrics and progress and receive feedback.
  • Accountability to key population health metrics, including quality, utilization, and financial measures.

Required Qualifications

  • Licensed Master’s in Social Work or Licensed RN
  • At least 5 years post undergraduate experience in clinical social work or clinical nursing work
  • Prior experience working with patients with behavioral health conditions.
  • At least 2 years of team management experience

Preferred Qualifications

  • Independent Social Work Licensure in home state, and willingness to obtain licensure in additional states in accordance with business needs.
  • Prior experience working with older adults.
  • Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations and assistance
  • Clinical competence in working with patients with Serious Mental Illness and in crisis intervention.
  • Ability to provide clinical supervision hours to Master’s Level Social Workers seeking independent licensure in home state.
  • Familiarity with and knowledge of chronic conditions, disease management, and navigation of medical systems of care

Characteristics of the qualified candidate: 

  • Advanced clinical acumen including assessment, diagnostic, therapeutic and crisis intervention skills as well as expert knowledge of behavioral health resources.
  • Excellent communication skills, including follow-through communication and the ability to interpret and translate data to tell a story via executive level presentations.
  • Relationship and team building skills.
  • A passionate advocate for improving clinician and patient experience through population health management.
  • Capable of setting SMART goals, aligned with organization, and holding staff accountable for achieving goals.
  • Relationship management and negotiation skills to ensure key organizational and community partners feel engaged, heard, and respected.
  • Pro-active, positive attitude, and comfortable being a change agent.
  • Ability to lead and facilitate meetings with MDs, Operations Leaders and across a matrixed organization.

Additional Information 

  • Remote role
  • Locations listed in job posting are preferred. Must reside within close proximity to Western Markets (i.e. neighboring state).

Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents

 

Scheduled Weekly Hours

 

40

 

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$84,600 – $116,300 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.