Clinical Care Team Manager (Remote)

Clinical Care Team Manager | RemoteWorker US | UnitedStates

Job Description

The Value Based Clinical Care Team Manager is primarilyresponsible for the day-to-day operations of an integrated...

Clinical Care Team Manager | RemoteWorker US | United States

Job Description

The Value Based Clinical Care Team Manager is primarily responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to case management, transitions of care, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and helping to build and maintain a network of community support. This individual must exhibit strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization.

What You’ll Be Doing

Effectively manage day to day ACO/MA Plan Clinical Programs to enhance clinical efficiencies

Identify opportunities for increased outpatient vs. inpatient utilization

Utilizes data provided to help in managing population health needs and implements population programs for ACO/MA Plan beneficiaries

Execute case management for patients identified at highest risk for adverse event or exacerbation having ability to impact, with goal of decreasing unnecessary emergency department visits/hospitalizations

Oversee extended patient care team including but not limited to: Social Workers, Emergency Department Liaisons, Behavioral Health Liaisons, and Home Health Liaisons.

Oversee smooth Transitional Care Management for all patients discharged from in patient facility (hospital, skilled nursing/rehab, behavioral health) ensuring: Primary Care Provider visit, DME and Home Health Services, Specialist appointments, and community resources/social services are provided as indicated.

Ensure Quality Measures are reviewed and addressed when applicable/appropriate

Implement and direct ACO/MA Plan Health Education Activities for beneficiaries, providers, and staff

Participate in Care Coordination and Quality Committees, Primary Care Provider Meetings, JOC Meetings, and other meetings as required

Monitor corporate initiatives and strategies to achieve utilization of business and financial goals

Manage the successful integration of ACO Programs into current operations to meet the goals of all stakeholders

Maintain collaborative relationships with business partners both within the company and the community

Manage and execute organizational opportunities and implement changes that are in alignment with corporate financial goals and strategic endeavors.

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Tagged as: remote, remote job, virtual, Virtual Job, virtual position, Work at Home, work from home