Director, Care Management

Your Opportunity

As the Director of Care Management, you play a pivotal role in providing administrative oversight and support to the Clinical Services Leadership, contributing to the development, organization, and coordination of our Care Management unit. Reporting to the Vice President of Clinical Services, your focus is on strategic clinical operations, collaborating with leadership to enhance operating and staffing models, ensuring efficient resource utilization, and fostering seamless coordination with other departments. You'll be instrumental in driving operational excellence through data analysis, process improvement, performance management, and adherence to regulatory standards, ultimately contributing to the success and growth of our healthcare environment.

What you will do

• Clinical Operations Strategy: Support the development and implementation of the clinical operations strategy for Care Management.

• Subject Matter Expertise: Provide clinical operations subject matter expertise to leadership and Care Management teams.

• Operating and Staffing Models: Support the development of/enhance fundamental operating and staffing models for efficient resource utilization and to achieve organizational goals.

• Data Analysis and Metrics Monitoring: Ensure efficient team operations through data analysis, report generation, metrics monitoring, and ongoing process improvement.

• Performance Evaluation: Develop and monitor KPIs to evaluate the performance of clinical team operations, identify areas of improvement, and execute on them.

• Process Optimization: Streamline processes and workflows to reflect evidence-based best practice, enhance operational efficiency, and improve satisfaction and productivity.

• Interdepartmental Collaboration: Collaborate with other departments to ensure seamless coordination and integration of clinical operations in collaborative initiatives.

• Regulatory Compliance: Ensure compliance with relevant regulations, standards, and guidelines in clinical operations.

• Quality Improvement Initiatives: Implement quality improvement initiatives in collaboration with Corporate Compliance and the Quality Improvement Team.

• Training Programs: Develop and implement operational training programs for Care Management staff.

• Relationship Building: Foster strong relationships with provider partners, external stakeholders, vendors, and community organizations to enhance clinical operations.

• Healthcare Management Systems: Serve as the primary liaison to vendors and teams related to Health Care Management Systems, driving automation within Clinical Services.

• Technical Expertise: Act as a subject matter expert on systems and technical programs used in Care Management.

• Program Development: Write Care Management Program/system requirements for Health Care Management tools as necessary.

• Communication and Reporting: Regularly communicate with senior management, providing updates on the performance and progress of clinical operations.

What will make you successful here

Education

• RN, NP, or PharmD License.

• Master’s degree in Business Administration, Public Health, or Health Administration/Management preferred.

Knowledge/Skills/Abilities

• In-depth knowledge of healthcare regulations, standards, and best practices related to clinical operations.

• Strong leadership and management skills.

• Effective communication and interpersonal skills.

• Proven track record of driving operational excellence.

• ·Proficiency in healthcare information systems and technology.

• Excellent organizational skills and attention to detail.

• Entrepreneurial spirit and ability to operate in ambiguity.

• Solution-oriented with strategic and creative thinking.

• Strong work ethic, exceeding expectations and goals.

• Coachable and forward-thinking.

• Ability to act with integrity, professionalism, and confidentiality.

• Proficient with Microsoft Office Suite or related software.

Perks/Benefits

• Annual Bonus Potential

• 401(k) Match (100% up to 4%)

• Health Benefits Effective Day 1

• Health & Wellness Stipend

   

  Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we every interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com