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RN Sr Manager, Special Projects and Clinical Initiatives at ConcertoHealth
Southfield, MI, US

Job Details

Description

 

ABOUT CONCERTO HEALTH

Concerto Health is an Aliso Viejo, CA-based company with one vision: to redesign primary health care delivery for millions of people with complex health needs. The Concerto name reflects our unique approach to healthcare. It’s about how we work in concert with all aspects of the health care delivery system. Whether you’re a patient, provider, or health plan, the Concerto Health Primary Care Support Platform can help.

The Concerto Health care model changes everything – payment, staffing, processes, IT systems, and culture. Our model surrounds patients, families, caregivers, and provider groups with a multi-disciplinary team of health professionals and systems of care. Our innovative team-based approach to care delivers unparalleled results in the areas of patient/staff experience, transitions of care, quality, and cost reduction, while simultaneously fostering a culture that humanizes health care delivery for those most in need.

We currently operate in 2 markets (Michigan and Washington) that include 7 primary care practices and 3 field-based teams, in partnership with innovative health plans and provider groups that share our vision.

For more information, please visit: www.concertohealth.com.

JOB SUMMARY

The Senior Manager, Special Projects and Clinical Initiatives, reports to the VP, Integrated Care Initiatives and is responsible for the oversight, management and optimization of care management special projects, initiatives and training.  The senior manager oversees the Care Management Reporting Team and the Care Management Training Team and is responsible for the day-to-day operations of both teams.  The senior manager will also collaborate with other internal and external stakeholders and functional areas.

 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Develop clinical training department infrastructure, including recruitment, hiring, and training of team members that will provide training support to the Care Management Enterprise
  • Mentor and manage Senior Business Analysts that will be assigned to special projects and initiatives within the Care Management Department
  • Manage all aspects of Care Management training (initial and ongoing) and trainer work streams
  • Manage all Care Management special projects and initiatives related, included but not limited to Care Management process improvement activities and initiatives
  • Create a centralized process for receiving incoming training and special project requests, prioritizing the requests, and managing all requests in a project plan
  • Consult with Care Management leadership and other Company stakeholders to identify training and special project needs
  • Implement process improvement activities to drive efficiency (working smarter not harder) and operational quality for all staff.
  • Identify industry best practices for Care Management and recommend practice changes as needed
  • Weekly monitoring of operational reports and participation in cross-functional meetings to address process and program improvements
  • Evaluate and escalate concerns that have potential patient impact
  • Travel to all of Concerto’s markets as needed to perform training and/or project related activities
  • Develop and maintain collaborative relationships with other internal market leaders, payor partners, regulators, and corporate teams
  • Promote a positive work environment, set an atmosphere of open communication and feedback
  • Hold staff to high standard of execution operationally
  • Manage staff productivity by developing and monitoring operational reports
  • Evaluate and escalate concerns that have potential patient impact.
  • Embodies joy in work, leads initiatives that achieve best-in-class team experience
  • Performs other job-related duties as assigned

QUALIFICATIONS

  • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines
  • Comfort embracing and navigating ambiguity.
  • A creative problem solver with a proven track record of successful implementation of clinical programs and initiatives
  • Flexibility and fluidity in managing many responsibilities
  • Strong communication and presentation skills with the ability to collaborate and work with multiple stakeholders
  • Strong analytical, quantitative and operational skills
  • Project management experience, including expertise in the development and management of project plans
  • Strong interpersonal and critical-thinking skills.
  • Proven track record of leading and building teams to drive measurable results
  • Self-directed and committed to continuous improvement of processes and procedures
  • Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines
  • Excellent planning and organization skills
  • Comfort embracing and navigating ambiguity.
  • Ability to operate effectively in a high-growth, high-performance culture
  • Minimum license requirement: Graduation from an accredited BSN program
  • Minimum of 5 years’ experience in a clinical and/or managed care setting
  • At least 3 years of management or leadership work within healthcare setting
  • Prior clinician program and/or training development and implementation experience
  • Knowledge of clinical standards of care, NCQA requirements, CMS guidelines, and Medicaid/Medicare programs and dual eligible populations, and benefit systems is preferred.
  • Public health, health or business administration studies preferred
  • Quality improvement work in a healthcare setting, with lean certification preferred
  • Location: Detroit with Registered Nurse or Advanced Practice Nursing Degree in State of Michigan
  • Willingness to travel 25% of the time
  • Average to advanced computer & software skills (Microsoft Word, Excel, Outlook)

 

Qualifications

Education

Required

Bachelors or better in Nursing.

 

Licenses & Certifications

Required

Registered Nurse