Manager of Care Management - Adult

As the Care Management Manager, this position will oversee and lead the Care Management department ensuring the delivery of high-quality, patient-centered care coordination services. This role requires strong leadership skills, clinical expertise, and a commitment to excellence in healthcare management.

Essential Responsibilities

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Provide direction and leadership to the Care Management department, ensuring alignment with departmental goals and objectives.

• Provides primary input into the daily operations of the department, including staffing, assignments, and problem solving.

• Foster a collaborative and supportive work environment that promotes professional growth and development among staff members and other organization staff.

• Collaborate with healthcare providers, interdisciplinary teams, and external agencies to optimize patient outcomes and ensure efficient resource utilization.

• Monitor and evaluate patient care processes to identify areas for improvement and implement evidence-based interventions as needed.

• Ensure compliance with all relevant healthcare regulations, standards, and accreditation requirements related to care management.

• Conduct regular audits and reviews to assess compliance with documentation standards and quality metrics.

• Provide education and training to staff members on compliance-related issues and care management best practices.

• Lead performance improvement initiatives aimed at enhancing the quality, safety, and efficiency of care management services.

• Work with the Director to analyze data and metrics to identify trends, opportunities, and challenges in care coordination.

• Build and maintain effective relationships with staff, internal and external stakeholders, including physicians, nurses, social workers, payers, and community organizations.

• Collaborate with interdisciplinary teams to develop and implement patient-centered care plans that address the unique needs and preferences of individual patients.

General Responsibilities

• Performs other duties as assigned.

Minimum Qualifications

Education: Bachelor's degree in nursing or a Masters of Social Work.

Experience: Minimum of 3 years of care coordination experience. 3 - 5 years progressive supervisory or leadership experience.

License(s)/Certification(s)/Registration(s): Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)) or Current Clinical Social Worker license (LCSW) from the Oklahoma State Board of Licensed Social Workers required. Certification in Case Management (e.g., CCM), preferred. Current BLS (American Heart Association) certification required.

Knowledge/Skills/Abilities Required

• Demonstrated ability to lead and motivate a diverse team of healthcare professionals.

• Proficiency in utilizing electronic health records (EHR).

• Demonstrated knowledge of clinical care management and social work programs in the inpatient or ambulatory setting, and healthcare operations, healthcare finance, health technology systems, and healthcare innovation.

• Excellent communication, interpersonal, and leadership skills.

• Commitment to fostering a culture of continuous learning, quality improvement, and patient-centered care.

• Proven management abilities with proven outcome results and changing the culture of a team.

• Ability to build consensus, facilitate change, and demonstrate a track record for execution and delivery.

• Demonstrated ability to lead and motivate a diverse team of healthcare professionals.

• Proficiency in performance measurement and quality improvement methodologies.

• Proficiency in utilizing electronic health records (EHR).

• Proficiency in performance measurement and quality improvement methodologies.

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