Manager, Care Management
4% above the median for Mid-Level Other roles
JOB SUMMARY
The Manager, Clinical Performance is responsible for the direct management of the clinical staff supporting Neuehealth’s clinical programs. programs. The Manager provides day-to-today supervision of assigned Care Management staff. The Manager monitors consistent application of CM standards of care by staff, for each level and type of CM decisions. The Manager monitors documentation for adequacy. The Manager will have responsibility for ensuring clinical teams are aligned with the NeueHealth Model of Care.
DUTIES & RESPONSIBILITIES
The Manager, Clinical Performance job description is intended to point out major responsibilities within the role, but it is not limited to these items.
Able to perform the functions of the clinical teams to which the supervisor has direct reporting responsibility, based on scope of practice.
Responsible for the performance and outcome monitoring data at defined intervals that accurately reflects clinical program activities, key performance indicators and workplans where applicable.
Responsible for supporting clinical director in the development of performance improvement plans based on deficiencies in key performance indicators
Responsible for supporting onboarding training and continued education for clinical staff and care partners
Responsible for ensuring the model of care is consistently applied throughout clinical services.
Able to complete value stream mapping and desktop procedures to ensure program standardization
Responsible for supporting clinical directors in conducting care team meetings for care partners.
Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned
EDUCATION AND PROFESSIONAL EXPERIENCE
(Licensures AND Certifications)
Bachelor’s degree in nursing, Business, or other related Healthcare field preferred
Certified Case Management preferred
Minimum 1 year experience in a supervisory capacity
Minimum 5 years’ experience in medical management (Case Management, Utilization Management)
Training experience preferred
EZ Care proficiency
PROFESSIONAL COMPETENCIES
(List professional knowledge, attitude, and skills required in order to work in the job)
Active and unrestricted California license as a Registered Nurse (RN)
High Attention to detail and Strong analytical skills
High level of critical thinking and problem-solving skills
Strong work ethic and overall positive attitude
Effective communication skills including verbal and written
Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
Demonstrated flexibility, organization, and self-motivation
Highly adaptable to change
For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $95,554 to $143,331.79.
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.