The Manager of Care Management supervises a team (including RNs, Social Workers, and Coordinators) to coordinate services and ensure program mission alignment. Responsibilities include setting team goals, providing feedback, coaching, and conducting performance reviews. This role requires collaboration across Clinical Operations, analyzing metric data, and identifying improvement opportunities.
Duties/Responsibilities
- Develop and monitor team goals; provide feedback and coaching; conduct performance reviews.
- Recommend staffing levels for effective care management.
- Oversee delivery of care plans and authorized services.
- Collaborate with Clinical Operations' core areas.
- Analyze reviews, metric data, and PHI audits for improvement.
Minimum Qualifications
- Associate's degree
- NYS RN, LSW or relevant clinical license
Preferred Qualifications
- CCM certification
- Supervisory or training experience
- Clinical work experience
- Knowledge of member satisfaction/incident management and regulations
- Knowledge of quality improvement methodologies
Compliance & Regulatory Responsibilities
Ensure team compliance with department and regulatory requirements. Supervise and audit compliance, including HIPAA standards and electronic PHI storage systems.
Hiring Range
$100,900 - $145,775 (Greater New York City Area) $86,500 - $128,690 (Other Locations)
Benefits
Healthfirst offers comprehensive benefits including medical, dental, vision coverage, life insurance, 401k, and more.
Equal Opportunity Employer Statement
Healthfirst is an equal opportunity employer. Applicants are evaluated without regard to disability, race, color, religion, gender, sexual orientation, national origin, age, genetic information, military or veteran status.
Additional Information
- Remote and hybrid work opportunities available.
- Professional development programs include tuition reimbursement and access to online courses.
Apply Now
Join Healthfirst and enjoy competitive compensation and benefits in a supportive work environment. Apply today!
Conclusion
The role of Manager of Care Management at Healthfirst offers a dynamic opportunity to lead and empower a diverse team in delivering exceptional care across multiple product lines including Medicaid and Medicare. With a focus on collaboration, compliance, and continuous improvement, this position not only supports individualized patient care but also fosters professional growth through comprehensive benefits and development programs. Join us in making a meaningful impact on healthcare delivery in the Greater New York City Area and beyond. Apply today to embark on a fulfilling career with Healthfirst.
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