Remote Manager, Care Integration Team- Kentucky and Indiana

CenterWell

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Req Number: R-328722
Category: Nurse Aide
Posted Date: January 26, 2024
Location Type: Remote

Work Location: KY
Location Type: Remote

Become a part of our caring community and help us put health first

The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

               

The Role

The Care Integration Team Manager is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high needs patients using a team-based approach to ensure patients receive the individualized care and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with clinical-operational market leaders on Care Integration Team foundational program and strategic opportunities for managing populations and coordinating care to reduce acute and post-acute care utilization. The Manager role is hybrid with travel requirements to preferred healthcare facilities in the community, alongside clinical market leader, to develop clinical partnerships for timely access to patient information, clinical collaboration on patient care, and patient centered resources.

As a guideline, this role involves spending 50% of the time on operational excellence and program delivery, 25% on relationships, and 25% on community partnerships.

 

Major Duties and Responsibilities

  • Oversees day-to-day operations, quality chart audit reviews, recruiting/hiring, team management, and overall performance for Care Integration Team associates in the market.
  • Ensures clinical program integrity at the market level and addresses performance and program improvement opportunities, escalating to Divisional Director as appropriate.
  • Collaborates with market leader/key stakeholders to design market specific strategies, data analytics, and create action plans that will reduce acute and post-acute care utilization.
  • Solicits/shares feedback with market leaders on team-based focus with attention given to success and opportunities to improve one care team culture and collaboration on high-risk patient management, at the market level. Effectively prioritizes patients with the market leaders who benefit the most from care management programs.
  • Initiates and maintains relationships with community partners, including key community organizations, Centerwell organizations (home health and pharmacy), and health care systems for strong clinical collaboration that will improve patient experience and overall population health outcomes.
  • Accountability to key population health metrics, including quality, utilization and financial measures.

Required Qualifications

  • A current unrestricted state RN license or social work degree / license
  • 5 years or more prior nursing, case management, disease management and/or social work experience
  • At least 2 years of team management experience
  • Experience working in primary care value based care organizations
  • Proficiency in analyzing and interpreting data trends
  • Progressive business consulting and operational leadership experience
  • Comprehensive knowledge in Microsoft office products
  • Must be passionate about contributing to an organization focused on continuously improving customer experience
  • Must provide a high speed DSL or cable modem for home office
  • Must have a separate room with a locked door that can be used as home office to ensure you have absolute privacy
  • Driving required to community organizations, health systems, and CW centers
  • Characteristics of the qualified candidate:
    • Capable of setting SMART goals, aligned with organization, and holding staff accountable for achieving goals.
    • Excellent communication skills, including follow-through communication and the ability to interpret and translate data to tell a story via executive level presentations.
    • 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.
    • A passionate advocate for improving clinician and patient experience through population health management.

Use your skills to make an impact

Additional Job Description

 

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

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

 

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

 

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.