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Care Continuum Network (CCN) Manager

Company: Elevate Health
Location: Tacoma
Posted on: September 13, 2020

Job Description:

Care Continuum Network (CCN) Manager Care Continuum Network · Tacoma, Washington

Position Summary

The Care Continuum Network Manager oversees the daily operations and functions of the Care Continuum Network. The ideal manager is highly professional, self-motivated, a detail and results-oriented team player, with a firm understanding of the social determinants of health, health equity and community/clinical linkages in Pierce County.

Reporting to the Clinical Director of the Care Continuum Network, this position requires working closely with Elevate Health multidisciplinary team members, community members, clients and contracted partners to ensure smooth day-to-day operations of the Care Continuum Network including, but not limited to, the Pathways Community HUB, Health Homes, and Community Health Action Teams. The Operations Manager works closely with the Care Continuum Network team in: onboarding new partners to the CCN, facilitating technology solution integration, developing processes in conjunction with care coordination principles and evidence-based guidelines, and facilitating training or other efforts necessary to improve quality of the Care Continuum Network.

Clinical Operations and Management

Leads the day-to-day operations and integration of community-based care coordination programs into operational process in collaboration with the Clinical Director of the Care Continuum Network

Facilitates contracting, onboarding and integration of new partner agencies onto the Care Continuum Network, including technology solutions support in collaboration with the Clinical Director of the Care Continuum Network

Supports assessment, design, and build of a community resource referral registry for Pierce County

Provides oversight and reviews all community care coordinators working with contract partner agencies under the Elevate Health’s Care Continuum Network including: Guides process and standards for Elevate Health staff to evaluate and improve referral processes for clients referred to the Care Continuum Network; includes use of population health management principles

Recommends duty assignment of community care coordinators and coordinates services with other health and social service agencies; includes distribution of client caseload

Conducts program audits, including chart review, development, and evaluation of performance measures and outcomes in alignment with local, state and federal programs

Ensures scope of practice for clinical and non-clinical staff acting out care coordination duties as designated by Washington state Administrative Codes and national certification boards with direction from the Clinical Director of Care Continuum Network.

Provides teaching, guidance and consultation to community care coordinators through case reviews and formal education to improve quality and quantity of service. This could include, but is not limited to, assessment of client needs and levels of risk, evaluation of required care management services and support, assessment and development of appropriate care plans and delivery of appropriate services to target populations

Provides back-up to the Care Continuum Network Referral Specialist to ensure day-to-day operations of the Network are maintained

Assists in planning educational programs for community care coordinators and/or community health workers, related professional workers, and community groups to meet the needs of personnel, clients and service providers as determined by the Care Continuum Network and collaborating partner agencies

Oversees, plans and directs all aspects of assigned programs with contract partner agencies under the Elevate Health’s Care Continuum Network, establishing objectives, policies and procedures

Maintains prescribed standards of care coordination and ensures services are rendered in conformance with policy and procedural guidelines including but not limited to, the Pathways-Community HUB certification

Conducts annual review and update of policies and procedures

Supports the research and development of any system or new product and/or business implementation with community partners based on evidence-based guidelines and department standards

Collaborates with Elevate Health staff, partners and stakeholders to establish proper interface between community care coordinators, Primary Care Providers (PCPs), behavioral health providers and other clinical staff as part of broader health systems transformation and whole-person care

Attends meetings or conferences as needed

Adheres to HIPAA security and compliance standards and extends application of this knowledge to all Care Continuum Network activities

Reports directly to the Clinical Director of the Care Continuum Network but receives guidance from collaborating partners and works with providers as part of the Community Advisory Committee, Provider Integration Panel, and other workgroups as necessary

Data, Evaluation & Performance Monitoring

Monitors key performance indicators in conjunction with Elevate Health’s Care Continuum Network Quality Improvement Plan to analyze the success of program implementation

Takes a comprehensive approach to evaluate and constructively improve current processes supporting expansion of the managed care operations; conducts review of performance with internal teams, collaborating partners and other workgroups such as the Pathways Advisory Workgroup.

Participates in the evaluation of health outcomes, cost-benefit analysis and performance of the Care Continuum Network service lines

Facilitates operational oversight for Care Continuum Network service lines and program functions and identifies opportunities for improving efficiency and cost reduction

Supports the research and development of any system or new product and/or business implementation with community partners based on evidence-based guidelines and department standards

Collaborates with Elevate Health staff, partners and stakeholders to establish proper interface between community care coordinators and Primary Care Providers (PCPs), behavioral health providers and other clinical staff as part of broader health systems transformation and whole-person care.

Takes corrective action as necessary to address disciplinary concerns; makes recommendations to diminish the impact on productivity

Implements enhanced capabilities based on performance improvement opportunities for accountability and integrity of daily operations

Minimum Qualifications

Bachelor’s degree from an accredited college or university (must provide original transcripts at time of interview)

Minimum two (2) years of health plan experience in managed care, care management or direct care and/or healthcare experience in aspects of operations oversight, administration, management and marketing

Solid organizational and time-management skills; ability to consistently deliver on established schedules, guidelines, protocols and deadlines

Proficiency in Microsoft Office and ability to use technology in a productive and efficient way

Excellent analytical, reasoning, problem-solving and decision-making abilities

Able to prioritize and multi-task in a fast-paced work environment

Excellent interpersonal, verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups

Excellent program development, management and leadership skills

Demonstrate analytical and organizational, problem-solving, critical thinking and conflict management/resolution skills

Demonstrate attention to detail, accuracy and precision to support research and presentation skills

Ability to maintain a professional demeanor and composure when challenged

Ability to function autonomously and as a team member within a multidisciplinary team

Ability to train by presenting concepts and demonstrating tasks

Preferred Qualifications

Clinical license degree (i.e. RN, LCSW, MSW) and clinical experience in acute care, ambulatory care and/or care management highly desirable

Ability to perform accurate and reliable mathematical calculations to support reimbursement analysis and measure financial performance

Ability to work flexible hours

Special Requirements/Conditions of Employment

Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the position.

Physical Demands Required to Fulfill Essential Functions of this Position

Employee must be able to sit for long periods of time. Employee must be able to focus on tasks while in an active office environment where conversation and noise is prevalent. Employee must be able to operate a keyboard, write, speak, and hear. Employee must be able to read small print both on paper and on a computer screen for long periods of time. Employee must be able to bend and reach to the top of a five-drawer filing cabinet. Employee must be able to lift boxes of no more than 30lbs. Employee must be able to go up a flight of stairs. Employee must be able to complete all job functions with or without reasonable accommodation.

Equal Employment Opportunity Statement

Elevate Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Elevate Health complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Driver’s License and Insurance

Performance of job duties requires driving on a regular basis, a valid Washington State driver’s license, the use of personal motor vehicle on a regular basis (with mileage reimbursement), and proof of appropriate auto insurance.

Compensation and Culture

Salary is competitive and commensurate with background and experience. The benefits package includes a comprehensive health plan that includes medical, dental and vision, a wellness plan, a generous 401(k) retirement savings plan, paid time off (sick, personal/health and holidays), flexible work environment, professional development, educational opportunities, and the opportunity to work at a mission- and values-driven entrepreneurial organization.

Keywords: Elevate Health, Tacoma , Care Continuum Network (CCN) Manager, Other , Tacoma, Washington

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