Job Details
Level : Management
Job Location : Waco, TX
Position Type : Full Time
Education Level : 4 Year Degree
Job Shift : Day
Job Category : Health Care
Description
PRIMARY DUTIES
- Lead and direct all care management activities, ensuring patient care coordination and adherence to clinical protocols and regulatory standards.
- Develop and implement care management programs, standing delegated orders, transitions of care, management protocols, policies, and departmental strategy in consultation with senior leadership.
- Supervise a multidisciplinary team of care managers responsible for patient care coordination.
- Develop and maintain a tracking system for seamless care coordination across medical services, including transitions and referrals.
- Utilize CM tracking to meet productivity targets.
- Collaborate with the Director of Population Health to address quality and clinical priorities.
- Develop and oversee quality management and improvement programs in collaboration with various clinical Chief Officers.
- Conduct data analysis and reporting
- Perform internal audits to ensure compliance with organizational and state / federal practices, policies, and regulations.
- Manage departmental budget and staffing.
- Lead regular Care Team meetings and departmental meetings.
OTHER DUTIES
As assigned by supervisorPHYSICAL AND MENTAL REQUIREMENTS
Possess a valid Texas driver's license and appropriate liability insuranceAccess to personal transportationVisual and auditory accuracyShift length variesIndoor settingContinuous use of computerLong periods of sittingFrequent use of telephone and / or smart devicesContinuous repetitive grasping and manipulation of both handsContinuous conversational communicationOccasional reaching, walking, squatting, bending, kneeling, twisting and climbingOccasionally carrying, lifting, pushing and pulling of up to 25 lbs.Occasionally working in confined, noisy, dusty areasUnderstand / carry out simple / detailed, oral / written instructionsMemorize and retain instructionsRead and interpret detailed specificationsMental competencyTobacco non-userPhysical accommodations will be implemented where necessary and feasibleQualifications
REPORTS TO : Chief Nursing Officer and Chief Clinical Officer
EDUCATION & EXPERIENCE
RequiredBachelor's degree in a related fieldCertifications : RNTwo years of case / care management experiencePreferredOutpatient case / care management experiencePrior managerial experience in a healthcare settingCertified Case Manager (CCM) designationCertification in Healthcare QualityQuality assurance / quality improvement oversight experienceSKILLS
Departmental leadership skillsAbility to teach and supervise care management, disease management, and patient education skills.Ability to teach knowledge of chronic physical and behavioral health conditions.Ability to teach evidence-based behavioral strategies, including motivational interviewing.Strong interpersonal skills with the ability to build effective relationships across medical teams and with patients.High proficiency in problem identification and care plan development.Professional interaction skills with medical providers and other healthcare professionals.Skillfully conduct health assessments and screenings.Ability to perform the duties of Social Work and Nurse Care ManagersKnowledge of quality assurance and quality improvement processesStrong written and oral communication skills.