Manager Outpatient Care Management

Manager Outpatient Care Management                          

Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family.

• Work location: Hybrid remote within the DFW area
• Core work hours: Monday-Friday 8:00a-5:00p

Job Description

OPERATION MANAGEMENT
Provides direct managerial oversight of daily operations for the Outpatient Care Management program which primarily includes outpatient care managers (CMs); the CMs are licensed registered nurses (RNs) and licensed master social workers (LMSWs).
Plans, organizes, and implements company-wide transitions of care management functions for efficient and effective operations.
Develops new workflows and care management protocols relevant to clinical transitions of care processes across the member/patient care continuum.
Participates in cross channel collaboration in collecting, evaluating, and analyzing data related to transitions of care, care coordination and other related programs and works with leadership and staff to set program goals, direct implementation of initiatives, and analyze data to determine effectiveness.
Employs data driven analysis to direct performance improvement activities, provide project management and facilitation, oversight and development, coordination, implementation, evaluation of quality assessment, and performance improvement activities related to the care managers and administrative staff.
Identifies risk models and stratification tools based on data analysis to strategically implement resourcing.
Defines, implements, and monitors metrics for program performance. Evaluate the programs completeness of tasks, need for process improvement, and day-to-day operations.
Deploys strategic business development, growth, and operations practices for all care coordination programs.
Develops Transition of Care clinical components (ie: Clinical Care Plans, transition discharge assessments).
Develops clinical intradisciplinary team workflow, gap analysis and patient clinical outcome measures.
Oversee, direct, and effectively expand strategic goals into specific operating and business plans. Ensure decisions are in compliance with legal, regulatory, and accreditation requirements.
Performs other duties as assigned by senior director of care transitions leadership.

STAFFING AND FINANCIAL ACCOUNTABILITY
Develops policies, procedures, and standards to direct the Outpatient Care Management program.
Monitors the CMs for program performance metrics for productivity and quality standards.
Provides direct management, which includes monitoring job performance evaluations, hiring, coaching, and counseling associates, and conducting/documenting corrective action as needed.
Plans and conducts regular training and staff meetings to facilitate team building, communication, problem solving, and obtain staff input/feedback.
Oversees the periodic review of all processes and procedures to identify opportunities for improving quality of Outpatient Care Management program.
Monitors financial performance of all programs to ensure operation within budget.
Provides direct communication with the director to ensure that the program is performing satisfactorily on an ongoing basis. Implement action plans to correct variances.

COMMUNITY ENGAGEMENT
Facilitates collaboration with external stakeholders, which may include Commercial Accountable Care and Medicare Advantage representatives, to enhance relationships and promote provision of quality care across the continuum.