Team Lead, Care Management

ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience improved access and better our medical clinics we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans focused on delivering improved quality better patient experience and lower total cost of SummaryThe Care Management Team Lead will be an integral part of the clinical leadership team. The Care Management Team Lead is primarily responsible for recruiting onboarding leading and performance managing the Care Managers that support transitions of care and management of high-risk individuals in multiple markets and states in an outpatient geriatric primary care setting. The Care Management Team Leader will provide leadership oversight and support for principal functions of clinical utilization to drive improvement of value-based care. Duties/Responsibilities:Lead a team of remote and/or market-based RN Care Managers and support staff including interviewing hiring training market support and colleague coaching and developmentAnalyze quality performance at the center and market level and collaborate closely with clinical leadership and operations when there are opportunities for improvementDevelop and manage team to meet or exceed established goalsServe as a role model and function as a clinical resource for the Care Management teamSupervise and facilitate team development and oversee the day-to-day tasks/activities in the departmentEnsure team members are competent in the use of EMR (eCW) care management platform and other online tools Work collaboratively and maintain active communication with providers nurses and other members of the multidisciplinary care team to effect timely appropriate member managementMonitor the quality of RN Care Manager interactions with members families physicians and the multidisciplinary team by regularly shadowing team to ensure clear understanding and adherence to department processesMonitor quality of documentation and assessments by regularly auditing the RN Care Managers documentationParticipate in clinical performance improvement activitiesComplete daily weekly and monthly reports as assigned by leadershipSeek ways to control costs without compromising member safety quality of care or the services delivered Adhere to established policy and procedure and standards of care; escalate issues promptly through the established chain of commandDemonstrate knowledge of regulatory requirements ArchWell Health compliance policies and quality initiativesServe as an advocate for members rights needs and values; ensure that members ethnic cultural or religious values beliefs preferences and needs are considered and aligned Perform other duties as assigned Required Skills/Abilities:Ability to travel to visit centers within assigned markets to provide audits clinical education and training for members of the clinical team (<20% travel)Excellent presentation verbal and written communication skillsStrong interpersonal communication skills with exceptional active listening abilitiesMission driven and motivated to join an organization that will transform the way we deliver accessible clinically excellent care to seniorsPassion for providing care to culturally diverse and medically complex populations and underserved communitiesEducation and Experience:Registered Nurse from an accredited college; BSN preferred with an active Registered Nurse licenseA minimum of 3 years clinical work experience required requiredA minimum of 2 years as a care manager requiredPrevious management experience in a health system health plan or other care delivery organization requiredExperience managing a remote team highly preferredCertified Case Manager certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) highly desiredManaged care experience including knowledge of HEDIS and CMS guidelinesWillingness and ability to maintain current and new licensure or certification requirements as mandated by state regulations ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race color religion age sex sexual orientation gender identity national origin disability veteran status or any other protected classification.