Centralized Medical Services - Team Lead, Care Management

ArchWell Health - Tampa, FL

Job Title: Centralized Medical Services - Team Lead, Care Management

Position: Clinical Leadership Team Member

Job Type:

Pay:

Shift:

Work Type: Remote

Location

Address:

City: Tampa

State: FL

ZIP Code:

Job Responsibilities

Lead a team of remote and/or market-based RN Care Managers and support staff, including interviewing, hiring, training, market support, and colleague coaching and development.
Analyze quality performance at the center and market level, and collaborate closely with clinical leadership and operations for improvement opportunities.
Develop and manage team to meet or exceed established goals.
Serve as a role model and function as a clinical resource for the Care Management team.
Supervise and facilitate team development, and oversee the day-to-day tasks/activities in the department.
Ensure team members are competent in the use of EMR (eCW), care management platform, and other online tools.
Work collaboratively with providers, nurses, and other members of the multidisciplinary care team for timely member management.
Monitor the quality of RN Care Manager interactions and ensure adherence to department processes.
Audit RN Care Managers’ documentation and assessments.
Participate in clinical performance improvement activities.
Complete daily, weekly, and monthly reports as assigned by leadership.
Seek ways to control costs without compromising member safety and quality of care.
Adhere to established policy, procedures, and standards; escalate issues through the established chain of command.
Demonstrate knowledge of regulatory requirements and compliance policies.
Advocate for members’ rights, needs, and values considering their ethnic, cultural, or religious backgrounds.
Perform other duties as assigned.

Required Skills

Core Skills

Ability to travel to visit centers within assigned markets (<20% travel)
Excellent presentation, verbal, and written communication skills
Strong interpersonal communication skills with exceptional active listening abilities
Mission-driven mindset focused on transforming senior care delivery
Passion for providing care to culturally diverse and medically complex populations

Preferred Skills

Experience managing a remote team
Certified Case Manager certification through CCMC or AAMCN
Managed care experience including knowledge of HEDIS and CMS guidelines

Requirements

Experience: A minimum of 3 years clinical work experience and a minimum of 2 years as a care manager required; previous management experience in a health system or care delivery organization required.

Education: Registered Nurse from an accredited college; BSN preferred.

License & Certification:

Active Registered Nurse license
Certified Case Manager certification (desired)

Schedule:

COVID-19 Requirements: Not Specified

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Facility Details

Name: ArchWell Health

Description: ArchWell Health is re-imagining the practice of primary care with a focus on outstanding patient experience, improved access, and better outcomes for senior adults with traditional Medicare and Medicare Advantage plans.

Specialties: