Manager of Care Management
Viva Health, Inc. - Birmingham, AL

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The MANAGER OF CARE MANAGEMENT is responsible for assisting the Director of Health Services in the coordination, development, administration and implementation of Care Management programs for VCare. This position:
•Provides supervision to assigned Care Management staff in providing one-on-one care management or disease management educational support by phone, mail, and/or in-person visits to members selected for a program.
•Leads all related staff management activities, including developing tools, policies and procedures, reports, and the development and coordination of an Interdisciplinary Care Team.
•Assess the effectiveness of the Care Management staff and measures outcomes through analysis of reporting.
•Reviews progress against the member’s care management plan and goals, and monitors the adjustments of care plans and goals as needed for improvement

Qualifications summary

•Associate Degree
•5 years clinical experience
•5 years experience in UR/UM/Complex Care or Disease Management, with 2 years in a supervisory role
•Current licensed RN or Social Worker in AL
•Current CPR certification
•Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
•Excellent customer service skills demonstrated through written and verbal communication
•Good computer and data entry skills
•Ability to be flexible, adaptable, and to work effectively in a variety of settings.

•Bachelor of Science in Nursing
•Clinical experience managing Complex Care, Disease Management, Home Health, and Special Needs or Dual Eligible Population
•Current RN license in the state of AL
•Knowledge of community resources, Medicare and Medicaid regulations

To apply: