Position Summary: We have an exciting opportunity to join our team as a Mgr-Clinical Care Coordination.
In this role, the successful candidate The Manager, Care Coordination is responsible for overseeing processes and activities associated with coordinating care for high risk patient populations across the continuum of care. The Manager participates in planning, developing and implementing programs and interventions designed to reduce preventable utilization and associated medical expense while focusing on improving the overall health and wellbeing of individuals receiving Care Coordination services. This position is accountable for the day-to-day direct management and oversight of staff performing Care Coordination activities.
Develops, implements, and monitors care coordination services and interventions for high risk patient populations.
Hires, trains, supervises, and monitors the work of Care Coordination staff who are assigned to work with high risk patients. This includes reviewing documentation to ensure that patient screenings, care plans, and progress notes maintained by the staff meet departmental and regulatory standards and are completed within required timeframes.
Prepares staffing plans and schedules as well as performance appraisals and approves hiring, and termination/discipline decisions in accordance with organizational policies.
Coaches, supports and acts as a resource to staff.
Demonstrates the ability to find information necessary to make solid clinical and business decisions, and communicates to care coordination teams
Determines data necessary to drive operational processes and analyzes and interprets data to drive performance improvement efforts to optimize productivity and outcomes.
Refines and improves processes/workflows/ policies and procedures to meet the evolving needs of patient populations, the healthcare team, and the healthcare system using employee and patient satisfaction as well as financial, operational and outcomes data
Promptly investigates issues/complaints and resolves, when possible. Ensures solutions are consistent with contractual agreements, department objectives, policies and procedures, and regulatory requirements.
Develops methods for evaluating staff performance and measuring and monitoring departmental objectives and reports results.
Participates in special projects and performs other duties, as required.
Fosters an exceptional teamwork environment with interdisciplinary colleagues; coaches staff in building strong team dynamics.
Demonstrates the values and service standards of the organization.
Minimum Qualifications: To qualify you must have a Licensure as Registered Professional Nurse in New York with current registration. Education: Bachelor's in Nursing required. Master's in Nursing, Social Work, Public Administration, Business Administration or related field preferred. Experience: Minimum of three to five years of clinical nursing experience. Five years or more of supervisory, management or comparable experience in a related setting and program function. Minimum of three to five years' experience in care management/coordination for a health plan or hospital. Experience in team leadership. Competencies: Understanding of health insurance including Medicare, Medicaid, and managed care requirements and value based payment models. Excellent verbal and written communication, interpersonal and team building skills. Self-directed, creative, good understanding of inpatient and ambulatory health care systems. Negotiation and conflict management skills; creative problem solving and leadership; change management, productivity, organizational and time management skills; able to apply critical thinking and clinical expertise toward achievement of specific outcomes through others; previously demonstrated ability to effectively communicate and to foster strong collaboration with management, co-workers, peers, subordinates, physicians, nursing, and ancillary departmental support staff. Proficient in Microsoft Office Word, Excel and PowerPoint..
Required Licenses: Registered Nurse License-NYS
Preferred Qualifications: Formal leadership experience in a position of comparable scope, in clinical care management/coordination at a health plan, home care agency or hospital. Experience in project management and evaluation, quality and performance improvement methodologies, and staff and patient education. Health plan care management/coordination experience desirable. Membership in care management/ coordination and/or related specialty professional organization desirable. Certification in Case Management, American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or Certified Professional Healthcare Quality (CPHQ) preferred.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.
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Internal Number: 60380527
About NYU Langone Health
NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.