CM Project Administrator - Specialty Program

Job Description

Job Description

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking a CM Project Administrator – Specialty Program to join our team.

Primary Responsibilities:

• The Care Management Project Administrator collaborates in the design, implementation and evaluation of care and disease management projects and specialty programs.
• Serves as primary point of contact and resource for specified projects, collaborates with stakeholders, assists with troubleshooting issues, prepares deliverables for submission, and oversees project-related contract details.
• Prepares, submits, and presents reports on project performance at internal and external meetings, as needed.

Tasks Performed:

• Supports the development and management of projects and initiatives by creating project plans using existing tools to ensure that project requirements, deadlines and schedules are submitted timely.
• Collaborates with stakeholders to:
  • 1) Identify and develop necessary workflows and processes
  • 2) Develop and implement documentation and associated reporting systems
  • 3) Manage project oversight

• Develops, reviews, and revises resources/toolkits/playbooks for designated projects.
• Tracks and reports on project milestones and outcomes.
• Supports leadership and teams to conduct analyses and refine processes and programs.
• Researches published scientific literature, evidence-based guidelines, and other sources of credible information pertinent to clinical program management, makes recommendations to leadership for program modifications, and supports implementation.
• Presents for adoption clinical content/evidence-based guidelines.
• Collaborates with others to create, implement, and evaluate quality improvement activities.
• Serves as a resource for provider practices on designated projects to troubleshoot issues and address system related barriers.
• Leverages expertise in care management to support navigation of HUSKY Health benefits, care coordination requirements, and preparation for healthcare encounters.
• May engage with eligible members identified for CHNCT care management services, including conducting an assessment and developing a care plan, when relevant to the specific project.
• Coordinates with other CHNCT departments and ASOs to ensure access to care/services.
• Participates in collaborative meetings that align with the goals of the project/program.
• Advises and participates in the development of audit criteria and conducts audits, as needed.
• Supports fulfillment of URAC requirements and participates in re-accreditation survey process.
• Performs other duties as assigned.

Essential Functions:

• Development and execution of project plans for implementation of special programs.
• Participation in workgroups and meetings as they relate to projects and programs.
• Coordination with stakeholders to ensure that deliverables occur on schedule. Travel to designated provider/community sites on a scheduled frequency and as needed.
• Preparation and presentation of project-related reports.
• Maintain knowledge of covered CT Medicaid/HUSKY Health programs.

Desired Education: Four to six years post-secondary education

Desired Degree: Bachelor’s degree; Master’s degree preferred

Desired Major: Nursing

Desired Job Experience: 5+ years Care Management program experience required.

Other Qualifications: Data Analytics and System Expertise. Excellent verbal, written and organizational skills required. Independent forward thinker. CCM or other URAC approved certification preferred. Must hold a valid and unrestricted motor vehicle operator’s license and have reliable transportation. CT Registered Nurse (RN) license must be current and unrestricted.

Certifications Required : Active Registered Nurse License, State Motor Vehicle License

We are dedicated to having a workplace where everyone feels valued, respected, and empowered to succeed. We embrace a wide range of perspectives and backgrounds, ensuring fair treatment and opportunities for all employees. We value our team’s rich array of experiences and viewpoints, which contribute to our innovative and collaborative environment.

We are committed to providing an inclusive and accessible interview process. If you require a reasonable accommodation for your interview due to a disability. Please contact us in advance if you need an accommodation.