Manager, Care Manager

About the role

This position provides oversight of the planning, development, implementation, and evaluation of Care Management (CM) programs. The Manager of CM ensures staff follow the care management process as defined by improving coordination, continuity, accessibility, and appropriate utilization of healthcare services and community resources for high-risk and special needs members, improving health outcomes and engagement in health seeking behaviors.

Responsibilities

• Provide oversight of care management programs.
• Responsible for recruitment and selection of appropriate staff and prepares for timely employee performance evaluations.
• Promote individual and team development and provide performance management, when necessary.
• Prepare reports on key indicators and activities for committees and senior management.
• Collaborate with the Director of CM on development of annual budget and operates within approved budget.
• Collaborate with interdisciplinary teams to support staff in coordination of care activities.
• Serves as a resource for health plan information and helps to integrate care management functions throughout the health plan.
• Aids in the annual development of measurable goals for care management programs based on data from outcomes reports, quality indicators, regulatory agencies, and health plan initiatives and priorities.
• Implement ongoing development and education of care management staff.
• Ensures that program integrity and regulatory requirements are met in conjunction with the Director of CM.
• Other duties as assigned.

Requirements

• Demonstrated skills for presentations and training before small and large groups.
• Knowledge of local health care delivery system.
• Strong problem solving, organizational, and time management skills with the ability to work in a fast-paced environment.
• The ability to successfully utilize Microsoft Office suite and common computer and office hardware is necessary.
• Current state RN license required.
• Bachelor of Science in Nursing (BSN) preferred.
• Minimum of two years of management/supervisory experience required.
• Minimum of three years of care management experience required.
• CCM Certification preferred.
• Managed Care experience is preferred.

Benefits

Competitive pay, excellent benefits including medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%, 20 days of PTO, and tuition assistance/professional development plans. MCMI also offers organizational-wide social opportunities and continuous efforts to positively impact members' lives through Diversity, Equity, and Inclusion.