Population Health Care Manager- Team Lead Medicaid

Duties and Responsibilities

• 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.
• Participation 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.
• Shadow each direct report at least once per evaluation period unless concerns are identified and more is required.
• Conduct one-on-one training and group training with team members for identified areas of need related to workflow, documentation, and/or patient care.
• Manage time and attendance for staff members in API system.
• Complete routine audits (in data management system, MaestroCare/Virtual Health, and recorded calls) for quality, clinical care, understanding of education provided, accuracy of process, and overall experience of any PHMO customers.
• Provide timely and accurate oversight of process and feedback loops.
• Participates in identified PHMO/DukeWELL meetings, and role enhancing trainings that are health system/state/regional/nationally appropriate, etc.
• Develop and maintain positive relationships with customers internal and external to Duke Health System.
• Maintain small caseload/patient-level responsibilities, following identified workflow and meeting required timeframes for completion of documentation, assessment, medication reconciliation and care planning.

Qualifications

• 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.
• 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, or 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.