Manager, Care Management
Apply NowCompany: EmblemHealth
Location: New York, NY 10025
Description:
Summary of Job - Hybrid
Responsibilities
Manage daily operations of the Care Management team including measurement of performance metrics and productivity standards; implement, deploy, and reinforce strategies to improve performance.
Train employees in process operations; act as a preceptor to newly hired staff.
Complete quarterly evaluations of staff as needed.
Monitor team caseloads; shift workloads accordingly to meet departmental/organizational needs.
Monitor timeliness and appropriateness of documentation in clinical systems to ensure that documentation meets accreditation and regulatory standards.
Ensure that team members are managing enrollees across the care continuum, inclusive of behavioral health, so that enrollees have access to needed care and services.
Serve as a clinical resource; attend Care Management rounds.
Monitor employees' performance regularly and coach employees as needed.
Perform other related tasks as directed or required.
Qualifications
Bachelor's degree, preferably in Nursing (Required)
Current New York State RN or LSCSW license (Required)
CCM certification (Preferred)
5 - 8+ years of clinical experience (Required)
Health plan experience (Preferred)
Experience leading care management teams (Required)
Detail oriented; strong analytical and problem-solving skills; ability to execute on strategy (Required)
Ability to organize, prioritize, and effectively manage multiple tasks with competing priority levels and deadlines (Required)
Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required)
Proficient with MS Office - Word, Excel, PowerPoint, Outlook, Teams, etc. (Required)
Able to analyze problems and recommend and deploy strategies to improve performance in collaboration with the leadership team (Required)
Responsibilities
Manage daily operations of the Care Management team including measurement of performance metrics and productivity standards; implement, deploy, and reinforce strategies to improve performance.
Train employees in process operations; act as a preceptor to newly hired staff.
Complete quarterly evaluations of staff as needed.
Monitor team caseloads; shift workloads accordingly to meet departmental/organizational needs.
Monitor timeliness and appropriateness of documentation in clinical systems to ensure that documentation meets accreditation and regulatory standards.
Ensure that team members are managing enrollees across the care continuum, inclusive of behavioral health, so that enrollees have access to needed care and services.
Serve as a clinical resource; attend Care Management rounds.
Monitor employees' performance regularly and coach employees as needed.
Perform other related tasks as directed or required.
Qualifications
Bachelor's degree, preferably in Nursing (Required)
Current New York State RN or LSCSW license (Required)
CCM certification (Preferred)
5 - 8+ years of clinical experience (Required)
Health plan experience (Preferred)
Experience leading care management teams (Required)
Detail oriented; strong analytical and problem-solving skills; ability to execute on strategy (Required)
Ability to organize, prioritize, and effectively manage multiple tasks with competing priority levels and deadlines (Required)
Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required)
Proficient with MS Office - Word, Excel, PowerPoint, Outlook, Teams, etc. (Required)
Able to analyze problems and recommend and deploy strategies to improve performance in collaboration with the leadership team (Required)