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Lead Care Manager

Open 43d

POSITION SUMMARY: This role will report to the Enhanced Care Management Director and is responsible for clinical care coordination of assigned patient populations. The Lead Care Manager will lead Enhanced Care Management teams by supervising Community Health Workers to create and carry out care plans under the ECM program. Travel and in home patient visits may be required.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below you will find essential duties and responsibilities to successfully perform this job. Reasonable accommodation will be granted, as necessary to perform the essential duties and function of this position.

  • Providing management oversight of the ECM benefit which provides for a whole person approach to care to address the clinical and non-clinal circumstances of high need
  • Identifying, developing and implementing program partnerships, care delivery models, and community based health practices in order to successfully achieve ECM’s strategic and tactical objectives
  • Providing leadership and support for successful integration of ECM services through interdepartmental collaboration, integration, and communication across all departments
  • Conducting meetings with ECM Staff
  • Collaborating with internal stakeholders to ensure that ECM providers are aware of the ECM Unit’s core service components and delivery strategies
  • Researching and identifying ECM best practices and sharing that information with ECM providers and care teams
  • Collaborating with staff across all departments to ensure that ECM services and benefits are implemented according to contractual requirements
  • Interviewing and participating in the selection of staff in conjunction with ECM Director
  • Collaborating with the ECM Director in developing staff training plans, career pathways and routine individual staff performance reviews
  • Evaluating employee performance, providing feedback to staff, and coaching and counseling or disciplining staff when performance issues arise
  • Overseeing or conducting staff training, including the development and maintenance of training materials, in conjunction with the Training and Development team
  • Identifying training gaps and opportunities for improved performance
  • Overseeing staff in multiple office locations and/or telecommute settings
  • Performing Assessments and creating care plans for escalated ECM patient cases
  • Perform other duties as assigned.

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