What are the responsibilities and job description for the Senior Manager, Care Management position at Careforth?

About Us

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values : lead with heart, cultivate trust, go beyond.

Position Summary

Reporting to the Director, Care Management, the Sr. Manager, Care Management provides leadership and direction to drive the delivery of high quality and cost-effective care coordination and services for an assigned population served within Careforth's Structured Family Caregiving program. These services focus on consumer and caregiver engagement as well as clinical and quality outcomes. In collaboration with the Director, Care Management, the Sr. Manager supports the implementation and ongoing evaluation of clinical programs and care coordination models for an assigned geography. Additionally, the Sr. Manager is responsible for the management of departmental budgets and supporting expected fiscal performance as influenced by care management processes and practices. The Sr. Manager ensures compliance with all contractual, regulatory and NCQA accreditation requirements and promotes a culture of continuous quality improvement, cost reduction outcomes and improvement in the overall quality and delivery of the care management program. This position will have oversight of both the RI and CT Teams.

What You Will Do

Oversee the delivery of care management programs, including management and oversight of the interdisciplinary care management teams and care management model for an assigned geography.
Implement and ensure compliance with policies, procedures and other protocols that guide the consistent and quality delivery of clinical services for all populations served
Ensure compliance with internal and external regulatory requirements and professional practice standards toward consumer and caregiver assessment, care planning, interventions and ongoing evaluation of consumer and caregiver outcomes
Oversee quality and performance improvement initiatives associated with program evaluation or mandated by regulatory and contract requirements for an assigned geography
Monitor trends and develop metrics to identify and prioritize opportunities to improve clinical, quality and fiscal outcomes; develop solutions and mitigation plans in collaboration with leadership team
Lead, coach and mentor staff, promoting an environment of high performance and engagement, growth, and collaboration
Perform other projects and duties as assigned

What You Will Bring

Bachelor's degree or equivalent, preferably in a health care or social services discipline is required along with a minimum of 7 years of progressive experience in care / disease management, working with complex populations, specifically older adults and / or individuals with disabilities

5 years of management experience

Comprehensive knowledge / experience in managing Medicaid services, particularly LTSS services preferred

An active RN license is strongly preferred. Additional state-specific qualifications may be required.

Ability to travel (usually by automobile) within assigned geographic area; valid driver's license and automobile insurance is required

Strong working knowledge of case management systems, community service and delivery systems, as well as Microsoft Office suite.

Join Our Award Winning Team

Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn.

Caregivers play a critical role in the future of healthcare-and so can you.

Key Words : #SeniorCareManager #RNHealthcareManager, #ClinicalCareManager,#CareforthCareers

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For more information, please visit www.Careforth.com.

Careforth is an Equal Opportunity Employer

DISCLAIMER : Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.

Careforth strives to create experiences that are accessible and welcoming to everyone, including making www.careforth.com and the careers site accessible to any and all users. If you would like to contact us regarding the company's diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.

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