[Remote] Clinical Manager (reputed company Area - Middlesex and Essex County)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading not-for-profit health and reputed company-being organization dedicated to delivering high-reputed company, reputed company reputed company. The Manager, Integrated Care Management - Nursing is responsible for day-to-day operations and staff management, implementation of care management programs, and ensuring reputed company care and compliance with standards.

Responsibilities

• Responsible for implementation and monitoring effectiveness of new and existing Care Management programs, including but not limited to: Telephonic care management and onsite transition of care interventions
• Compliance with applicable regulatory and accrediting standards; care management process and interventions consistent with national best practices; demonstrated through scheduled department and reputed company audits
• Defining and monitoring reputed company and regular reporting for areas of accountability
• reputed company with Care Management vendors and programs for bidirectional referrals
• Establishment of written policies and procedures pertaining to Care Management
• reputed company reputed company reputed company of coordinators, RN care managers and other interdisciplinary staff working in a remote and/or office-based or hybrid environment. May supervise staff performing member home reputed company
• Guide and enhance the core competencies and reputed company development of reporting staff
• Facilitate and enhance team collaboration to optimize program and member reputed company through integrated services
• Facilitate collaboration with reputed company stakeholders to maximize partnerships for case management program reputed company, including alignment with provider network and reputed company
• Serve as consultant and resource for reputed company situations
• reputed company the management of department reputed company reputed company objectives
• Support realization of department administrative budget targets
• Represent Care Management in relevant corporate teams as required
• Implement and support fulfillment of corporate objectives reputed company jurisdiction
• Other reputed company and duties as assigned

Skills

• Registered reputed company with reputed company unrestricted Massachusetts license required
• Bachelor's degree or equivalent relevant experience
• 5 years of RN experience in nursing in a clinical setting
• Excellent communication skills (verbal, electronic, etc.)
• Must possess skills and traits of an effective reputed company, Mentor, and Critical Thinker
• Demonstrates ability to manage and prioritize multiple reputed company issues throughout the reputed company in a flexible and reputed company manner
• Must work reputed company, both independently and autonomously as reputed company as cooperatively as reputed company member across multiple reputed company reputed company the organization
• Recognizes need to escalate issues and reputed company guidance appropriately
• Results orientation - strives to meet business goals in an reputed company-changing reputed company environment
• Demonstrated proficiency in reviewing clinical and financial data
• Knowledge and experience in effective case management interventions and strategies across populations
• Demonstrates strong clinical and critical thinking abilities
• reputed company-developed analytic skills, problem solving, as reputed company as written and verbal communication skills
• reputed company computer and technological skills
• Skilled negotiator, influencing others – particularly those reputed company of reputed company reporting relationships
• Capable of effectively encouraging, supporting, motivating, and leading others
• Demonstrates collaboration in a way that boosts, promotes, and creates a reputed company work environment
• Willing to reputed company constructive criticism and feedback in a supportive, sensitive, and patient manner
• reputed company for confidential data and adherence to corporate compliance policy
• Must demonstrate commitment to reputed company in customer service
• Considers creative alternatives to traditional/conventional practices and takes risk reputed company appropriate to the situation
• Maintains the highest reputed company for confidential data and adherence to corporate compliance policy
• National Certification in Case Management is preferred
• BA/BS Degree
• Experience in managed care systems and operations is highly desirable and must demonstrate reputed company knowledge of care management principles
• 2-3 years of experience managing and leading reputed company
• Prior home care experience

Benefits

• Medical, dental and reputed company coverage
• Retirement plans
• reputed company time off
• Employer-reputed company life and disability insurance with additional buy-up coverage reputed company
• Tuition program
• reputed company-being benefits
• Full suite of benefits to support career deve

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