Job Summary
The Care Manager for the Care Management Programs (APCM, PIN, CHI, BHI, and CCM) is driven by the need for strategic oversight of care coordination efforts. The Care Manager will provide leadership and supervision to care coordinators responsible for managing patient-centered care plans, ensuring program goals are achieved. This role is vital for maintaining high-quality care, improving patient outcomes, and ensuring compliance with regulatory standards across all care management programs.
Responsibilities
· Provide leadership and direction to care coordinators responsible for patient-centered care plans.
· Review care coordinators' activities to ensure compliance with established protocols and regulatory requirements.
· Monitor the quality and effectiveness of care coordination to ensure alignment with program goals.
Team Leadership and Supervision:
· Hire, train, and mentor care coordinators, fostering professional development and accountability.
· Conduct regular performance evaluations and provide feedback to improve team effectiveness.
Program Oversight: Oversee operations for APCM, PIN, CHI, BHI, and CCM programs, ensuring integration across care management initiatives. · Monitor program metrics and outcomes, implementing changes to improve performance and patient satisfaction.
Patient Engagement and Advocacy: Ensure care coordinators are effectively engaging patients and addressing barriers to care. Advocate for the integration of community and behavioral health resources into care plans.
APCM (Advanced Primary Care Management): · Oversee care management strategies to support patients with chronic conditions, ensuring preventive measures and care plans are executed.
PIN (Principal Illness Navigation): · Guide care coordinators in managing navigation of complex illnesses, ensuring timely referrals and interventions.
CHI (Community Health Integration): Ensure care coordinators collaborate with community organizations to address social determinants of health, such as housing, food security, and transportation.
BHI (Behavioral Health Integration): · Supervise the integration of behavioral health services into care plans, ensuring collaboration between mental health providers and care coordinators.
CCM (Chronic Care Management): · Oversee the management of chronic care plans, ensuring care coordinators effectively track and document patient progress.
Quality Assurance and Compliance
Educational Qualifications:
Bachelor’s Degree in Healthcare Administration or Bachelor’s Degree in Nursing (BSN) or Associate Degree in Nursing (ADN) or International Medical Graduate, or a related field (required)
Professional Skills: Strong leadership and supervisory skills with the ability to mentor and guide care coordinators. Expertise in program evaluation, quality improvement, and process optimization. Knowledge of healthcare regulations, including Medicare, Medicaid, and HIPAA compliance.
Preferred Certifications: Case Manager Certification (CCM). Certification in Population Health Management or Behavioral Health Integration.
Key Competencies:
· Familiarity with care management software, data analytics, and population health tools.
· Strong documentation skills and attention to detail for compliance and reporting.
Location: 1371 Seabury ave, Bronx New York
Join our team as a Clinic Manager where you can make a significant impact on patient care while leading a dedicated team of healthcare professionals.
Job Type: Full-time
Pay: $68,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Holidays
- Monday to Friday
- Weekends as needed
Work Location: In person
Job Type: Full-time
Pay: $68,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person