Sr Manager of Care Management

Job Description - Sr Manager of Care Management (240003C6)

This position will require employees to be in the office or in the field (D.C) four (4) days a week.

The Associate Director will assist the Director of Care Management to help assess and evaluate the care management services rendered, staffing levels, competency and educational needs of the care management staff and effectively coordinates and controls resources. The Associate Director oversees the Supervisory Care Management Staff, supporting the needs of the department and promoting delivery of the care management model in partnership with the Director, and drives performance goals outlined in the annual work plan. This position has a broad knowledge base related to the needs of the Medicaid population and is an integral member of the Care Management Leadership team. The Associate Director supports the operations of the Care Management Department through monitoring of staff's adherence to quality and productivity standards; assisting with responding to enrollee's needs; and providing clinical supervision and leadership for compliance and performance improvement.

Qualifications

Minimum Education

Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now.

Master's Degree Nursing, Social Work, Health Services Field (Required)

Minimum Work Experience

5 years Successful operational management experience, oversight of programs, and supervision of management level direct reports. (Required)

7 years Experience in care / case management. (Preferred)

Required Skills / Knowledge

Skills in problem-solving and collaboration with others.

Demonstrated experience in implementing initiatives or projects required.

Demonstrated leadership skills required.

Strong problem solving and strategy execution abilities. Able to analyze problems and deploy strategies to improve performance in collaboration with the leadership team.

Detailed oriented and organized.

Excellent written and oral communications skills.

Experience leading care management teams.

Required Licenses and Certifications

Ind. Clinical Social Worker Licensed in the District of Columbia Upon Hire (Required) Or

Registered Nurse Licensed in the District of Columbia Upon Hire (Required) Certified Case Manager 1 Year (Preferred)

Job Functions

Essential Job Duties

• Supports the Director of Care Management in administering the daily operations of the CM department.
• Assists in developing strategy for change and implementation.
• Supervises 5-9 staff, including supervisory care managers, DDS managers, discharge planners, and disease managers.
• Builds, develops, and sustains high performing people and teams.
• Ensures teams are focused, competent, and productive in executing policy and procedure.
• Responsible to assist the supervisory CMs in addressing Enrollee needs, resolve enrollee issues, and build the capacity of others to resolve complaints and grievances.
• Assists with development and revision of CM policies and procedures.
• Promotes operationalizing policy and procedures through people, specifically coordinating with Director, CM to :
• Deploy training, skill-building, and tools to support the defined processes.
• Pace the roll-out properly to balance speed with the avoidance of rework.
• Enlist Supervisory Care Managers in accessing the reports / data available to them to identify emerging issues and trends.
• Participates in recruitment of qualified CM staff.
• Promotes well-being among all team CM staff members through maintaining active connections and highlighting resources and methods available to the Department to be and feel supported.
• Delegates responsibilities as appropriate. Designates the appropriate individual(s) to fulfill duties in case of absence and informs designee(s) of responsibilities.
• Conducts regular meetings with staff. Ensures that staff expectations are consistent with the goals and policies of the HSCSN and Children’s National.
• Builds relationships with staff and works towards creating a high-performing service culture.
• Responsible to manage and execute all aspects of performance management process for direct reports. Ensures Supervisory Care Managers do the same for their direct reports.
• Coaches, develops and identifies training opportunities for management team.
• Has a portfolio of assigned CM reports for which the position is accountable that are submitted to the Department of Healthcare Finance or other entities. The Associate Director is responsible for reports that are assigned to Supervisory CMs that report to them.
• Develops and maintains a positive working relationship on behalf of HSCSN with the District of Columbia public agencies (DBH, DYRS, DDS, CFSA).
• Participates in Quality / Performance Improvement (QI / PI) programs, teams, and activities on behalf of the CM department. Ensures that appropriate tools are in place to achieve QI / PI goals.
• Attends external meetings representing the HSCSN CM department as assigned by the Director or CMO.
• Responsible for assigned deliverables are of high quality and submitted by the due dates which comply with licensure / accreditation requirements and achieve positive results.
• The Associate Director is expected to :
• Understand how to use and pull information about individual enrollees out of the CM IT system.
• Responsible for assembling information needed to address an enrollee complaint or grievance.
• Manages enrollee concerns that cannot be resolved by escalation to a Supervisory Care Manager are escalated to an Associate Director of reports on performance indicators to the Quality Department, when assigned.

Other Job Duties

Organizational Accountabilities

Organizational Accountabilities (Managers)

Leadership Excellence

Leadership Skills

DC RESIDENTS ENCOURAGED TO APPLY

Primary Location

District of Columbia-Washington

Work Locations

HSCSN - MLK Ave 3400 Martin Luther King Jr. Ave SE Washington 20032

Management

Organization

HSC W / Special Needs

Position Status : R (Regular) - FT - Full-Time

Shift : Day

Job PostingFull-Time Salary Range

93974.4 - 156603.2

Health Services for Children with Special Needs (HSCSN) is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

Please note that it is the policy of Health Services for Children with Special Needs (HSCSN) to ensure a “drug-free” work environment : a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors).

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