Manager Clinical Care Partnership - RN / NP / PA - Western MA

Company: Commonwealth Care Alliance
Location: Springfield
Posted on: April 10, 2021

Job Description:

Job DescriptionLeads a team, comprised of Telephonic RN's, Mobile RN's, and Mobile NP's. Holds team accountable to meet Key Performance Indicators, proactively identifies areas of opportunity and improvement for individual contributors, creates action/development plans for individual contributors and follows through on plans. Ensures that work is evenly distributed across the team, collaborates with other clinical managers to ensure even distribution across teams * Accountable for quality and financial outcomes, service utilization, targeted case mix and productivity levels of Care Partners * Collaborates closely with Behavioral Health leadership to ensure appropriate integration within the team * Models collaboration with other CCA "specialties" including palliative care, women's health, diabetes management, and the medical directors. * Active participant in Medical Management initiatives, working toward CCA's goal of impacting the cost of health care for the dual eligible population * Is responsible for the Root Cause Analysis process within the team, reviewing all inpatient medical hospitalizations to identify areas of opportunity and improvement for individual contributors. * Reviews service plans to ensure "right sizing" by identifying areas to impact financial outcomes. * Depending on licensure level, may collaborate with Clinical Director on this process * Participates in the selection, hiring, and onboarding of staff as well as performance appraisal, documentation of deficiencies, performance recognition, and disciplinary action. Develops, supervises, and appraises direct reports; plans and implements disciplinary actions as needed, works with Human Resources and legal staff as appropriate; when warranted, makes recommendations to the Clinical Director regarding the evaluation, promotion, transfer or discipline of personnel. * Addresses internal personnel issues, problem-solves local issues and engages in conflict management training. * Provides clinical guidance and coaching for complex situations throughout the team. * Acts as mentor and coach to new Clinical Managers * Leads team meetings and selective (audit oriented) high risk case reviews) * Lead re stratification discussion to ensure members are in the correct care model * Provide oversight over new hire orientation in close collaboration with CCA's Education Department * Prepares and analyzes reports to manage patient care and team performance * Reviews clinical documentation and records to ensure accuracy and timeliness * Provides input to Clinical Director and senior leadership into strategies to improve the performance of CCA * Works cross-functionally within the organization to overcome barriers to effective and efficient local work flows * Participates in cross-organizational working groups to continuously improve practice * Develops, refines, and enhances clinical programs, initiatives, processes, policies, workflows, and projects. * Participates in CCA Quality Improvement efforts. * Participates in committees and workgroups that promote clinical excellence and help to advance CCA's mission and business objectives. * Actively participates in the evaluation of own performance and progress. * Leverages resources across the team as needed to serve our members. * Provides clinical guidance and coaching for complex situations The Manager, Clinical Care Partnership directly manages an interprofessional team of Care Partners with matrixed reporting of behavioral health and HOW team members

Keywords: Commonwealth Care Alliance, Springfield , Manager Clinical Care Partnership - RN / NP / PA - Western MA, Executive , Springfield, Massachusetts