Manager RN Care Management, Population Health

MAHEC01 MAHEC - Chapel Hill, NC

Full-time - Mid Level

Hybrid - Chapel Hill, NC

About the position

This role is responsible for the development, implementation, and supervision of the Nursing Care Management team members, assisting with the design, launch, and oversight of nursing care management services to improve patient care and performance on population health goals. The position is accountable for achieving established outcomes through actively engaging interdisciplinary teams and external stakeholders, while striving to build patient-centered care and integrate partners to improve patient health and health equity.

Responsibilities

• Supervises MAHEC Nursing Care Management Team.
• Identifies, hires, and on-boards the MAHEC Nursing Care Management staff.
• Evaluates competencies for clinical care management staff and assesses performance based on MAHEC's Population Health strategy.
• Identifies training needs and provides opportunities for staff to receive continuing education and ongoing professional development.
• Ensures department policies and procedures are current and support current practices.
• Develops and recognizes staff through coaching, planning, training, appraising, and counseling.
• Creates intentional plans for leadership development of leaders and provides coaching for success.
• Develops referral workflows and processes for patients and their families to appropriate resources regarding health care needs.
• Assists with and guides direct reports with development and implementation of patients' care plans.
• Develops and monitors effectiveness of EHR and Care Management systems including patient registries and risk stratification.
• Collaborates with clinical leaders to design the MAHEC Care Management strategy.
• Works with Informatics to develop the documentation strategy for the care management team.
• Assists in implementation of strategies across the organization.
• Supports Care Management team in developing workflows to meet contractual requirements with payors.
• Collaborates with clinical leaders to determine best practice for use of health coaches, pharmacists, RN's and others.
• Assists with population health project management.
• Develops, implements, and manages workflows to assure safe handoff of patients between care managers.
• Attends and participates actively in system meetings that focus on improving collaboration in the care of patients during transitions of care.
• Ensures alignment in processes among care management and other clinical teams.
• Provides supervision, education, and support for collaborating clinical team members.
• Collaborates with MAHEC's QI, central billing office (CBO) and audit team to perform regular claim review and education.
• Evaluates, designs, and provides support for development of workflows and instruction on clinical documentation tools for MAHEC Care Management.
• Utilizes research and implements evidence-based best practices in designing care models.
• Supports clinical operations team to participate in initiatives to meet quality goals of payor contracts.
• Evaluates new tools based on the balance of cost/benefit from a clinical and organizational perspective.

Requirements

• Bachelor of Science in Nursing.
• Maintains nationally recognized certification in Case Management, such as ACM, CCM or ANA certification.
• If RN, must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing.
• 3 years related experience and/or training; or equivalent combination of education and experience.

Nice-to-haves

• Master's Degree in Nursing.
• Experience in working in high growth hybrid working environment, as well as scaling and supervising teams.
• Excellent communication and interpersonal skills.
• Experience working with Electronic Health Records or Care Management systems.

Benefits

• Health insurance coverage.
• Paid time off for holidays and vacations.
• Continuing education opportunities.
• Professional development support.