Associate Manager – Registered Nurse Case Management Program

Role Overview

• Supervise RN-CMs in assigned markets, including clinical oversight of the following daily operations and metrics: Performance management: Provide guidance and oversight to the RN-CM team, including evaluating team performance in the areas of: clinical assessments, patient needs assessment, development of and progress within care plans, patient engagement and outreach, and appointment support.
• Collaboration and communication with internal stakeholders: effectively communicate across leaders and multi-disciplinary teams (e.g. regional leaders, care team, social work, behavioral health, transitions of care, etc.) to collaborate and align regarding program processes, outcomes, and improvements.
• Tracking, reporting and training: Monitor and evaluate care management activities for impact and quality through chart audits, call listening, and reports. In coordination with Care Management leaders, facilitate trainings and ongoing education to continuously improve program design and outcomes.
• Hire and train RN Care Managers in assigned regions.
• Assist with the implementation of new care management activities and programming.
• Provide feedback to Care Management leaders regarding team performance and process improvements to streamline operations, patient or employee experience, and operational outcomes.
• Provide support for process and quality improvement to RN-CMs through constructive feedback, coaching, and formal evaluations.
• Create an engaging culture that inspires commitment and encourages excellence and strives for equity and inclusion.
• Monitor OSH program related data including patient medical cost, admissions, appointment completion and health outcomes to help guide and direct Care Management program initiatives and goals.
• Remain knowledgeable of industry standards and state regulations, and monitor and review best practices as necessary.
• Other duties as assigned.

Requirements

• Bachelor’s in Nursing strongly preferred.
• Active RN license within one or more OSH states.
• Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire.
• Willingness to obtain cross-state licensure, as needed.
• 2+ years direct supervisory experience required.
• 4+ years in care management, case management, and/or transitional care, strongly preferred.
• Proficient with Microsoft Office, Google Suite, and healthcare EMRs.
• Knowledge of Medicare/Medicaid and NCQA requirements.
• Strong clinical and assessment skills.
• Outstanding verbal and written communication skills.
• Ability to work independently and maintain flexibility in a fast-paced, start-up environment.
• Self-starter with a high level of accountability and responsibility for the outcome of care.
• Highly organized and able to manage multiple priorities appropriately.
• Independent problem-solving skills.
• Able to work collaboratively and build enduring relationships with providers, patients and the multidisciplinary team.
• A flexible, positive attitude.
• Valid driver's license and ability to travel frequently.
• US work authorization.

Benefits

• Paid vacation, sick time, and investment/retirement 401K match options
• Health insurance, vision, and dental benefits
• Opportunities for leadership development and continuing education stipends
• New centers and flexible work environments
• Opportunities for high levels of responsibility and rapid advancement