Description
General Summary of Position
Works collaboratively with the Clinical Director to assist with implementation, integration, and operational direction of Care Management within the Care Transformation Organization. Facilitates the continuum of care, works collaboratively with interdisciplinary staff, both internal and external to the organization. Supervises team of lead care managers and care coordinators who coordinate care for at risk Medicare Fee For Service beneficiaries in accordance with the goals and requirements of the Maryland Primary Care Program. Primary goals include provision of longitudinal and episodic care management; facilitating timely access to care, use of alternative care outside traditional office visit, and connection to services for patients who may benefit from behavioral health services and/or social service organizations. Assists the CTO Clinical Operations Manager in managing daily operations of the care coordination team with the goal of maintaining adequate staffing levels and efficient workflow. Acts as a resource and mentor to care managers, care coordinators, and interdisciplinary care team. Performs face-to-face and telephonic care management duties in medical practice and office settings.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Associate's degree in Nursing; required and
- BSN preferred
Experience
- 5-7 years Diverse clinical experience.for utilization management (UM), for case management (CM), 3 years CM experience required and
- Leadership experience preferred
Licenses and Certifications
- Valid RN license in Maryland; required and
- Certified Case Manager (CCM) certification preferred
Knowledge, Skills, and Abilities
- Ability to use computer to enter and retrieve data.
- Working knowledge of Microsoft Word, Excel, and PowerPoint applications.
- Effective verbal and written communication skills.
- Must be able to run and analyze departmental productivity reports.
- Excellent interpersonal skills required.
This position has a hiring range of $87,318 - $157,289
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