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Manager, Care Management

EmblemHealth
United States, New York, New York
Mar 07, 2025

Summary of Job - Hybrid

Responsibilities

* Manage daily operations of the Care Management team including measurement of performance metrics and productivity standards; implement, deploy, and reinforce strategies to improve performance.
* Train employees in process operations; act as a preceptor to newly hired staff.
* Complete quarterly evaluations of staff as needed.
* Monitor team caseloads; shift workloads accordingly to meet departmental/organizational needs.
* Monitor timeliness and appropriateness of documentation in clinical systems to ensure that documentation meets accreditation and regulatory standards.
* Ensure that team members are managing enrollees across the care continuum, inclusive of behavioral health, so that enrollees have access to needed care and services.
* Serve as a clinical resource; attend Care Management rounds.
* Monitor employees' performance regularly and coach employees as needed.
* Perform other related tasks as directed or required.

Qualifications

* Bachelor's degree, preferably in Nursing (Required)
* Current New York State RN or LSCSW license (Required)
* CCM certification (Preferred)
* 5 - 8+ years of clinical experience (Required)
* Health plan experience (Preferred)
* Experience leading care management teams (Required)
* Detail oriented; strong analytical and problem-solving skills; ability to execute on strategy (Required)
* Ability to organize, prioritize, and effectively manage multiple tasks with competing priority levels and deadlines (Required)
* Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required)
* Proficient with MS Office - Word, Excel, PowerPoint, Outlook, Teams, etc. (Required)
* Able to analyze problems and recommend and deploy strategies to improve performance in collaboration with the leadership team (Required)

Additional Information


  • Requisition ID: 1000002386
  • Hiring Range: $72,000-$138,000

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