Director of Case Management

We are currently seeking a Part Time Dir of Case Management to join our team here within our Oldsmar FL office.

The Director of Case Management will manage all operational aspects of care coordination and care management for Pediatric Health Care Alliance, PA and Novelle Health.

Essential Functions:

– Develops, implements and oversees care management and care coordination processes.

-Supervises Case Manager and Social worker staff, providing training,support and oversight.

– Evaluation and implementation of PHCA care management processes by conducting audits of the care management team’s activities. Ensuring quality and productivity of team members.

– Develops and implements care management processes

– Work closely with PHCA to identify trends, understand data and help to develop solutions relative to cost reduction and quality improvement opportunities. Obtain a thorough working knowledge of the current population health management platforms.

– Work directly with payors with whom PHCA has contracted regarding care management opportunities and processes.

– Work with PHCA Medical Director and management team to develop and implement health care quality initiatives.

Preferred Job Qualification:

Education – RN licensed in the State of Florida, Certified Case Manager

Job Experience – Previous management experience in the clinical setting, Minimal 5 years working in a case management related field. Previous experience in population health to include a good understanding of analytical data and reporting.

Professional License/Certification – RN licensed in the State of Florida. Certification in Case Management.

Specialized Knowledge/Skills – Ability to prioritize and organize work despite multi-faceted task directions and interruptions. General office skills using various office equipment (fax, copier, postage machine, etc.). Advanced skill in all Microsoft Office programs, including Word and Excel. Proficiency in typing, computers, and accessing insurance based web systems, if applicable. Skill in computer data entry. Ability to maintain documents and files with accuracy and completeness. Self-motivated with strong organization skills.

This position will require some travel to various clinic locations within the organization.

Job Type: Part-time

Experience:

• Case Management: 5 years (Preferred)