Responsible for supervision of assigned team that includes productivity, performance and quality of assigned team.
In collaboration with the managers, identifies plans and executes activities to promote effective quality care management and to ensure compliance according to policies and procedures.
May be assigned a small percentage of a caseload/portfolio to ensure the ability to engage customers within an identified population.
Model for staff best-in-class care management by using practical experience engaging the identified customers.
Coordinate and facilitate timely implementation of appropriate interventions for identified customer populations following established policies and procedures.
Monitor, support, and engage both staff and additional management in related systemic opportunities, strengths, and benchmarks that will enhance negotiations with payers, improve care management, and/or address gaps in care.
Participate in the hiring/firing process of staff across care management.
Engage with direct reports on a monthly basis via monthly individual supervision and larger team meetings to provide timely departmental updates, training, and coaching.

Bachelor's degree in a clinical field such as Nursing, Counseling, Social Work, Therapy, Allied Health, or community health related fields.
3 years of clinical experience required.
Extensive management experience.
Care/Case management experience within different settings i.e. Home Health, Community, Gen. Med.
Strategic Planning experience.
Must have a current license in at least one of these areas: current or compact RN licensure in the state of North Carolina; current licensure as a licensed clinical social worker by the NC Social Work Certification and Licensure Board; current licensure as a Licensed Professional Counselor by the state of NC; current licensure as a Licensed Addiction Specialist by the state of North Carolina.
Requires ACM or CCM certification within 3 years of hire date or by December 31, 2020.

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Population Health Care Manager – Team Lead, Medicaid

Key skills