The Care Management Manager is responsible for providing administrative and clinical leadership and oversight of the Population Health Management staff to ensure successful delivery of complex case management, condition management, care transition and care coordination services. This position is responsible for the daily operations and productivity of staff, daily problem-solving of clinical and operational issues, and the development and revision of policies and procedures in collaboration with the Director of the Continuum of Care Model. Relationship building with health care venues across the care continuum is imperative to ensure coordinated care.
• Registered Nurse (RN) with Active state License – BSN preferred
• Bachelor’s degree (B.A.) From four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience
• A current, unrestricted RN license in the state of Hawai‘i.
• Certification in Case Management (CCM) preferred.
• Current/valid Hawai‘i Driver’s License.
• Proof of Hawai‘i No-Fault Auto Insurance.
• Clean driving record as evidenced by a recent driver’s abstract (to be provided by the employee).
• Must demonstrate strong verbal and written communication skills
• Be able to work flexible hours as needed
• Demonstrate ability to work as part of the team
Responsibilities: Responsibilities include but are not limited to:
Leadership and Management
• Provides oversight, direction, leadership and mentoring to staff functioning in complex case management, condition management, care transitions and care coordination, ensuring that standards of practice are met during encounters with patients, families/caregivers, community resources and in compliance with delegation requirements from payors
• Reviews population health reports, patient care assignments and case load to promote optimal productivity and efficiency
• Monitors staff documentation, performance goals and standards
• Establishes, implements and maintains policies, procedures and processes to provide for effective and efficient care, condition management, care coordination and care transitions
• Conducts regular audits of staff performance against standards and ensures compliance with delegation requirements from payors
• Maintains records and data for care programs to ensure trending of optimal outcomes and goals
• Works collaboratively with data analysts to develop clinically oriented outcomes reports
Physical Demands: • Requires standing or sitting for extended periods of time • Requires manual dexterity sufficient enough to operate office equipment including but not limited to telephone, keyboard and copier • Requires normal range of hearing and vision • Requires the ability to communicate with patients, office personnel and the community • Some bending stretching, lifting and stooping may be required • Travel to practice site locations and local health care facilities