Population Health Care Manager – Team Lead, Care Transition

Role Overview

• 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.
• Using accessible data from multiple sources to ensure appropriate outreach, education, and necessary interventions are identified.
• 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.
• Provide information on staff productivity on a monthly basis, at minimum.
• 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.
• 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.
• Participate 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.

Requirements

• 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, e.g. Home Health, Community, Gen. Med
• Strategic Planning experience
• Must have a current license in at least one of these areas: current or compact RN licensure in the state of North Carolina, 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.

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development