Manager of Community Care Coordination
Medford, MN Medford, MN Full-time Full-time Estimated:
$67.
3K - $85.
3K a year Estimated:
$67.
3K - $85.
3K a year Manager of Community Care Coordination Join a Star Tribune Top Workplace Dedicated to Making a Difference! South Country Health Alliance, ranked as one of the Top Workplaces in Minnesota, is looking for a full-time Manager of Community Care Coordination at our Medford location.
The Community Care Coordination Program Manager is responsible for managing South Country's internal and delegate care management systems that are designed to ensure care is coordinated across services and settings for members.
This position is responsible for managing staff, responding to escalated operational issues/concerns, developing policies, and monitoring and evaluating the effectiveness of the organization's care management program.
Minimum Requirements:
Current and valid, unrestricted RN license in MN or a bachelor's degree in social work or behavioral science; 5 years relevant experience, which would include at least 2 years of managing others.
Preferred
Qualifications:
Program development; knowledge of/experience in public sector programs, i.
e.
, Medicaid and Medicare, and waiver programs; and county/managed care experience.
South Country offers a full range of comprehensive benefits and competitive pay.
View full position description and requirements below or text MCCC to 507-565-6775 to apply! POSITION DESCRIPTION (EXEMPT) Position Title:
Manager of Community Care Coordination Dept:
Community Engagement Reports To:
Director of Community Engagement Date:
March 2023 Skill Sets:
Professional individual with excellent verbal and written communication, interpersonal and presentation skills; strong decision-making and organizational skills; detail oriented with effective time management and the ability to manage multiple, time-sensitive priorities; ability to work in an autonomous role with minimal supervision; able to meet the demands of a fast-paced environment; must possess good work ethic and self-motivation and strong critical thinking.
Computer literate to navigate through internal and external computer systems.
Education/
Experience:
Minimum Requirements:
Current and valid, unrestricted RN license in MN or a bachelor's degree in social work or behavioral science; 5 years relevant experience, which would include at least 2 years of managing others.
Preferred
Qualifications:
Program development; knowledge of/experience in public sector programs, i.
e.
, Medicaid and Medicare, and waiver programs; and county/managed care experience.
Personnel Management:
Direct Reports:
Exempt - 5 Non-Exempt - 1 Primary Function:
The Community Care Coordination Program Manager is responsible for managing South Country's internal and delegate care management systems that are designed to ensure care is coordinated across services and settings for members.
This position is responsible for managing staff, responding to escalated operational issues/concerns, developing policies, and monitoring and evaluating the effectiveness of the organization's care management program.
Essential Accountabilities:
1.
Oversees and manages daily functions of care management teams, identifies and develops training and development opportunities to ensure compliance with contractual and regulatory requirements, reviews and evaluates work, develops and assists staff in goal setting.
Serves as a resource for staff members.
2.
Manages activities for the care management programs, including collaborating and coordinating activities with internal South Country departments, external partners, provider groups and other organizations that provide member care and services.
3.
Develops and evaluates quality assurance goals and objectives of care management programs for effectiveness, outcome measurement, identification of improvement opportunities and to ensure that programs are meeting regulatory requirements at the state and federal level, i.
e.
, Elderly Waiver, the National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Minnesota Department of Human Services (MN DHS) and Minnesota Department of Health (MDH).
4.
Manages the oversight of and works with county partners in the areas of care coordination/case management to assure enrollees receive appropriate care according to quality and regulatory standards.
This includes leading and participating in various workgroups.
5.
Develops and revises policies, procedures and resources for care coordination programs as well as provide training related to policy & procedural changes.
6.
Leads the development of training programs to meet the identified educational needs of internal and external teams, i.
e.
, departmental policies and procedures, care coordination and care plan development.
7.
Represents South Country at external meetings and events with community partners and regulators, such as the MN DHS, MDH and CMS.
8.
Manages South Country's Model of Care and care coordination regulatory reporting requirements.
9.
Participates in departmental and/or corporate strategic planning designed to identify opportunities for new care management programs and/or improve efficiencies within care management programs.
10.
Other duties assigned within the scope, responsibility and requirements of the job.
Additional
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Language Skills:
Must be able to read and write in English.
Must have advanced verbal and written communication skills.
Needs to possess the ability to present complex information in a clear and concise manner.
Must be comfortable with public speaking.
Mathematical Skills:
Analytic skills required.
Accuracy:
Work is not checked; impact of errors or negligence would cause significant loss, waste of time and/or materials or significantly affect enrollee's ability to access services or relationships with business partners.
Reasoning Ability:
Requires use of keen judgment on involved and complex assignments; broad decision making and complex problem solving; devises methods and procedures to meet unusual conditions and makes original contributions to the solution of very difficult problems.
Problem solving is very complex, involving highly critical issues.
Physical Demands:
The physical demands described represent those that must be met by an employee to successfully perform the essential functions of this job.
Where possible, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee frequently is required to sit.
The employee is occasionally required to stand; walk; use hands to navigate office equipment, (i.
e.
, computer, telephone, etc.
), office supplies and reach with hands and arms.
The employee rarely lifts and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
The duties of this job require the employee to be seated at a computer approximately 90% of the time.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee should encounter no unusual or hazardous conditions.
The noise level in the work environment is usually low.
Travel Requirements:
The employee must be able to travel to external meetings approximately 1-2 times per month.
Contacts:
This position works with most internal departments and works closely with related external third- party administrators and contract providers, SCHA members, county, state and federal business partners, as well as some community organizations.
Maintains satisfactory relationships; may include collaboration in executing established policies, discussion of ways to reach agreed-upon objectives, securing compliance with approved procedures.
Financial Impact:
This position is responsible for ensuring that South Country is following contract language as promulgated by governmental agencies.
Failure to comply with this contractual language could result in breach of contract resulting in a significant financial penalty, potential contract cancellation, sanctions and/or corrective action.
This position has the responsibility to ensure enrollees receive timely, efficient care.
PI216020734.
Estimated Salary: $20 to $28 per hour based on qualifications.
$67.
3K - $85.
3K a year Estimated:
$67.
3K - $85.
3K a year Manager of Community Care Coordination Join a Star Tribune Top Workplace Dedicated to Making a Difference! South Country Health Alliance, ranked as one of the Top Workplaces in Minnesota, is looking for a full-time Manager of Community Care Coordination at our Medford location.
The Community Care Coordination Program Manager is responsible for managing South Country's internal and delegate care management systems that are designed to ensure care is coordinated across services and settings for members.
This position is responsible for managing staff, responding to escalated operational issues/concerns, developing policies, and monitoring and evaluating the effectiveness of the organization's care management program.
Minimum Requirements:
Current and valid, unrestricted RN license in MN or a bachelor's degree in social work or behavioral science; 5 years relevant experience, which would include at least 2 years of managing others.
Preferred
Qualifications:
Program development; knowledge of/experience in public sector programs, i.
e.
, Medicaid and Medicare, and waiver programs; and county/managed care experience.
South Country offers a full range of comprehensive benefits and competitive pay.
View full position description and requirements below or text MCCC to 507-565-6775 to apply! POSITION DESCRIPTION (EXEMPT) Position Title:
Manager of Community Care Coordination Dept:
Community Engagement Reports To:
Director of Community Engagement Date:
March 2023 Skill Sets:
Professional individual with excellent verbal and written communication, interpersonal and presentation skills; strong decision-making and organizational skills; detail oriented with effective time management and the ability to manage multiple, time-sensitive priorities; ability to work in an autonomous role with minimal supervision; able to meet the demands of a fast-paced environment; must possess good work ethic and self-motivation and strong critical thinking.
Computer literate to navigate through internal and external computer systems.
Education/
Experience:
Minimum Requirements:
Current and valid, unrestricted RN license in MN or a bachelor's degree in social work or behavioral science; 5 years relevant experience, which would include at least 2 years of managing others.
Preferred
Qualifications:
Program development; knowledge of/experience in public sector programs, i.
e.
, Medicaid and Medicare, and waiver programs; and county/managed care experience.
Personnel Management:
Direct Reports:
Exempt - 5 Non-Exempt - 1 Primary Function:
The Community Care Coordination Program Manager is responsible for managing South Country's internal and delegate care management systems that are designed to ensure care is coordinated across services and settings for members.
This position is responsible for managing staff, responding to escalated operational issues/concerns, developing policies, and monitoring and evaluating the effectiveness of the organization's care management program.
Essential Accountabilities:
1.
Oversees and manages daily functions of care management teams, identifies and develops training and development opportunities to ensure compliance with contractual and regulatory requirements, reviews and evaluates work, develops and assists staff in goal setting.
Serves as a resource for staff members.
2.
Manages activities for the care management programs, including collaborating and coordinating activities with internal South Country departments, external partners, provider groups and other organizations that provide member care and services.
3.
Develops and evaluates quality assurance goals and objectives of care management programs for effectiveness, outcome measurement, identification of improvement opportunities and to ensure that programs are meeting regulatory requirements at the state and federal level, i.
e.
, Elderly Waiver, the National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Minnesota Department of Human Services (MN DHS) and Minnesota Department of Health (MDH).
4.
Manages the oversight of and works with county partners in the areas of care coordination/case management to assure enrollees receive appropriate care according to quality and regulatory standards.
This includes leading and participating in various workgroups.
5.
Develops and revises policies, procedures and resources for care coordination programs as well as provide training related to policy & procedural changes.
6.
Leads the development of training programs to meet the identified educational needs of internal and external teams, i.
e.
, departmental policies and procedures, care coordination and care plan development.
7.
Represents South Country at external meetings and events with community partners and regulators, such as the MN DHS, MDH and CMS.
8.
Manages South Country's Model of Care and care coordination regulatory reporting requirements.
9.
Participates in departmental and/or corporate strategic planning designed to identify opportunities for new care management programs and/or improve efficiencies within care management programs.
10.
Other duties assigned within the scope, responsibility and requirements of the job.
Additional
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Language Skills:
Must be able to read and write in English.
Must have advanced verbal and written communication skills.
Needs to possess the ability to present complex information in a clear and concise manner.
Must be comfortable with public speaking.
Mathematical Skills:
Analytic skills required.
Accuracy:
Work is not checked; impact of errors or negligence would cause significant loss, waste of time and/or materials or significantly affect enrollee's ability to access services or relationships with business partners.
Reasoning Ability:
Requires use of keen judgment on involved and complex assignments; broad decision making and complex problem solving; devises methods and procedures to meet unusual conditions and makes original contributions to the solution of very difficult problems.
Problem solving is very complex, involving highly critical issues.
Physical Demands:
The physical demands described represent those that must be met by an employee to successfully perform the essential functions of this job.
Where possible, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee frequently is required to sit.
The employee is occasionally required to stand; walk; use hands to navigate office equipment, (i.
e.
, computer, telephone, etc.
), office supplies and reach with hands and arms.
The employee rarely lifts and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
The duties of this job require the employee to be seated at a computer approximately 90% of the time.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee should encounter no unusual or hazardous conditions.
The noise level in the work environment is usually low.
Travel Requirements:
The employee must be able to travel to external meetings approximately 1-2 times per month.
Contacts:
This position works with most internal departments and works closely with related external third- party administrators and contract providers, SCHA members, county, state and federal business partners, as well as some community organizations.
Maintains satisfactory relationships; may include collaboration in executing established policies, discussion of ways to reach agreed-upon objectives, securing compliance with approved procedures.
Financial Impact:
This position is responsible for ensuring that South Country is following contract language as promulgated by governmental agencies.
Failure to comply with this contractual language could result in breach of contract resulting in a significant financial penalty, potential contract cancellation, sanctions and/or corrective action.
This position has the responsibility to ensure enrollees receive timely, efficient care.
PI216020734.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
