Manager, Care Management- San Antonio, TX

San Antonio, TX, United States

Manager, Care Integration Team- San Antonio, TX page is loaded Manager, Care Integration Team- San Antonio, TX Apply locations San Antonio, TX time type Full time posted on Posted 2 Days Ago job requisition id R-332227 Become a part of our caring community and help us put health first

The Care Integration Team Manager is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high needs patients using a team-based approach to ensure patients receive the individualized care and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with clinical-operational market leaders on Care Integration Team foundational program and strategic opportunities for managing populations and coordinating care to reduce acute and post-acute care utilization. The Manager role is hybrid with travel requirements to preferred healthcare facilities in the community, alongside clinical market leader, to develop clinical partnerships for timely access to patient information, clinical collaboration on patient care, and patient centered resources.

As a guideline, this role involves spending 50% of the time on operational excellence and program delivery, 25% on relationships, and 25% on community partnerships.

Major Duties and Responsibilities

· Oversees day-to-day operations, quality chart audit reviews, recruiting/hiring, team management, and overall performance for Care Integration Team associates in the market.

· Ensures clinical program integrity at the market level and addresses performance and program improvement opportunities, escalating to Divisional Director as appropriate.

· Collaborates with market leader/key stakeholders to design market specific strategies, data analytics, and create action plans that will reduce acute and post-acute care utilization.

· Solicits/shares feedback with market leaders on team-based focus with attention given to success and opportunities to improve one care team culture and collaboration on high-risk patient management, at the market level. Effectively prioritizes patients with the market leaders who benefit the most from care management programs.

· Initiates and maintains relationships with community partners, including key community organizations, Centerwell organizations (home health and pharmacy), and health care systems for strong clinical collaboration that will improve patient experience and overall population health outcomes.

· Accountability to key population health metrics, including quality, utilization and financial measures.

Use your skills to make an impact

Required Qualifications

A current unrestricted state RN license or social work degree / license

5 years or more prior nursing, case management, disease management and/or social work experience

At least 2 years of team management experience

Experience working in primary care value based care organizations

Proficiency in analyzing and interpreting data trends

Progressive business consulting and operational leadership experience

Comprehensive knowledge in Microsoft office products

Must be passionate about contributing to an organization focused on continuously improving customer experience

Must provide a high speed DSL or cable modem for home office

Must have a separate room with a locked door that can be used as home office to ensure you have absolute privacy

Driving required to community organizations, health systems, and CW centers

Characteristics of the qualified candidate:  Capable of setting SMART goals, aligned with organization, and holding staff accountable for achieving goals.

Excellent communication skills, including follow-through communication and the ability to interpret and translate data to tell a story via executive level presentations.

Relationship management and negotiation skills to ensure key organizational and community partners feel engaged, heard, and respected.

Pro-active, positive attitude, and comfortable being a change agent

Ability to lead and facilitate meetings with MDs, Operations Leaders and across a matrixed organization.

A passionate advocate for improving clinician and patient experience through population health management.

Benefits

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Scheduled Weekly Hours

40

About us

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humanato take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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