MANAGER OF COMPLEX CARE COORDINATION - HEALTH PLAN SERVICES

Job Posting:
Nov 15, 2024, 4:
20:
40 PM Closing Date:
Nov 29, 2024, 11:
59:
00 PM Full-time Shift Start Time:
8:
30 A. M. Shift End Time:
4:
30 P. M. Collective Bargaining Unit:
None Posting Salary:
$113,220 - $128,112 Organization:
Health and Hospital Systems

The final salary and offer components are subject to additional approvals based on Cook County Health (CCH) policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at CCH. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

Job Title

Manager of Complex Care Coordination

Department

Health Plan Services

Job Summary

The Manager of Complex Care Coordination is responsible for managing and leading a multidisciplinary care team composed of care coordinators and community health workers to provide effective, efficient care coordination. Leads the day to day activities of the care coordinators, including scheduling, case assignment, mentoring and problem solving. Collaborates with the Director of Complex Care Coordination to identify improvement opportunities, create efficient processes and leverage resources appropriately, while supporting Cook County Health (CCH) and CountyCare Health Plan. Works with enrollees, providers and administrative staff to identify ways to improve integration with the medical home teams for those who have complex medical/social or behavioral needs as well as for the maternal child health population or enrollees with acute needs or chronic disease.

General Administrative Responsibilities

Collective Bargaining

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
• Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline

• Document, recommend and effectuate discipline at all levels
• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision

• Direct and effectuate CCH management policies and practices
• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management

• Contribute to the management of CCH staff and CCH systemic development and success
• Discuss and develop CCH system policy and procedure
• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
• Work with Labor Relations to discern past practice when necessary

Typical Duties

• Manages caseloads and oversees case assignment for member s by risk category and population, as well as, residing in long term care, supportive living facility receiving home and community-based waiver services in accordance with departmental policy and procedure. Monitors workloads to assure a distribution that is accordance with contractual requirements.
• Develops processes to facilitate and support education and onboarding.
• Ensures work is completed in a timely manner and addresses issues with work completion.
• Collaborates with the care team to continuously improve the process of assessment, care planning, service planning, interdisciplinary care, care coordination, and evaluation.
• Regularly conducts care team meetings as needed to address concerns or needs.
• Develops and implements process to successfully on-board staff members and support tenured staff members during times of transition such as changes in policy and procedures or workflow modifications.
• Uses care management system generated data to develop an approach to monitor staff performance and provide timely, relevant feedback to staff.
• Adheres to contractual obligations to reporting key events and requests for response according to contractual requirement or accreditation standards.
• Initiates efforts to improve team performance regarding key performance indicators, develops approaches to assure team achieves targets.
• Facilitates staff staying up to date with changes in regulations, accreditation requirements and best practices in care coordination.
• Analyzes data supporting trends in patient care and improves process as needed.
• Works collaboratively with departments throughout CCH to support achievement of organizational/departmental goals.
• Supports of the Care Coordination participants and care teams in workflow (re)design.
• Supports resource utilization in a manner that is consistent with budget and resource targets.
• Supports care coordination quality improvement efforts.
• Supports readiness activities for National Committee for Quality Assurance (NCQA) accreditation.
• Travels to the home of Enrollees or their sites of care to conduct supervision visits as required by departmental policy.
• Performs all other duties as assigned.

Minimum Qualifications

• Bachelor's degree or higher from an accredited college or university is required (Official transcripts must be provided at time of interview)
• Must be Licensed in the State of Illinois as a Registered Professional Nurse, Licensed Clinical Social Worker, Licensed Social Worker, Licensed Clinical Professional Counselor, OR Licensed Professional Counselor is required
• Three (3) years of care coordination work experience in health services or social services is required
• Two (2) years of experience working for a culturally diverse population is required
• One (1) year of supervisory work experience with a multi-disciplinary team is required
• Prior case management software work experience is required
• Position requires moderate travel for which the employee must have a valid driver's license in good standing and access to an insured vehicle is required

Preferred Qual.