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Under direction of the AVP of Care Management, the Director of Care Management Operations is responsible for leading Care Management and Behavioral Health with additional program oversight as assigned. Expected to demonstrate transparency, integrity, and consistency in all interactions and to work collaboratively with key stakeholders across the care continuum.
Essential Responsibilities
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
Partners with CM and organizational leaders to establish a culture that exudes teamwork, collegial collaboration, and innovation.
Works as a team member to operationalize CM Strategy that leads the organization to clinical excellence.
Partners with Clinical Data Manager to ensure the collection and dissemination of Care Management key performance indicators.
Collaborates in or leads the process for the development of performance improvement activities for assigned projects.
Works closely with management and other health care professionals to ensure success of organizational goals
Interacts with physicians on initiatives to support Care Management initiatives to improve patient experience and outcomes.
Inspires team members and fosters accountability and ownership to align regulatory and evidence-based practices.
Manages a team of Care Management professionals and provides primary input regarding the hiring, development, performance evaluation and progressive discipline actions for team members.
Performs other duties as assigned
Minimum Qualifications
Education: Bachelor of Science in Nursing (BSN) or Master of Social Work (MSW) from an accredited institution is required.
Experience: At least 5 years of progressive leadership experience with at least 3 years of care management experience required.
Licensure/Certifications/Registrations Required: Current RN License issued by the Oklahoma State Board of Nursing or a current multistate compact RN License (eNLC) or Current Licensed Clinical Social Worker (LCSW) from the Oklahoma State Board of Licensed Social Workers required.
Knowledge, Skills and Abilities:
Demonstrated ability to develop collaborative relationships with key stakeholders within the organization
Strong influence skills; Ability to maintain integrity and trust among leadership and staff. Proven ability to manage a team of professionals and lead multiple departmental functions
Excellent verbal and written communication skills, presentation and facilitation skills
Proven ability to solve complex problems effectively and manage multiple high priority deliverables
Demonstrates knowledge of business acumen.
Demonstrates knowledge of clinical practice in areas overseen as well as healthcare environment
Must be a strategic thinker, self-motivated and have excellent problem solving and project management skills
Skill in planning, coordinating and measure assigned initiatives
Ability to meet deadlines and handles multiple tasks
Skill in designing and analyzing program outcomes including financial impact
Strong ability to manage and develop others
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