Manager, Care Management- Rural Health

Manager, Care Management- Rural Health

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking a Manager, Care Management- Rural Health for the Rural Health Transformation (RHT) Program.

The Rural Health Transformation (RHT) Program is a federal grant that empowers states to strengthen rural communities across America by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem.

Primary Responsibilities:

• Under the direction of the VP, Care Management, responsible for daily operations of the Rural Health Transformation team.
• In collaboration with senior leadership, assists in the development and implementation of programs and projects that support care management initiatives.
• Functions as a clinical resource for staff, identifies and addresses training needs, and promotes consistent application of organizational policies and procedures across the team.
• Reviews and monitors report dashboards related to referral management, operational metrics and performance outcomes to ensure achievement of key program objectives.

Tasks Performed:

• Reviews data analytics dashboard and manages the referral process.
• Oversees staff assignments and coverage.
• Accountable for performance reviews and corrective action plans for direct reports.
• Collaborates with leadership and staff to identify opportunities for continuous quality improvement and supports the implementation of workflow and procedure enhancements.
• Reviews case audit results to ensure standards are consistently met.
• Facilitates team meetings and conducts focused training as needed.
• Participates in intra/interdepartmental meetings, workgroups and external meetings/committees as needed.
• Performs other duties as assigned.

Essential Functions:

• Ensures compliance with DSS regulations, URAC standards and CHNCT policies and procedures.
• Reviews policies and procedures annually and makes changes as necessary.
• Monitors staff productivity and unit metrics assuring all metrics are met.

Desired Education: Four years post-secondary education required

Desired Degree: Bachelor's degree preferred

Desired Major: Nursing

Desired Job Experience: Minimum 3-5 years in case management environment with increasing supervisory responsibilities is required. Previous clinical experience with minimum 2 years direct clinical patient care is required.

Other Qualifications: Excellent written and verbal communication skills. Collaborative and team-focused perspective. Bilingual/bicultural abilities a plus. Knowledge of CT Medicaid, HUSKY Health programs. Demonstrated team leadership abilities and customer focus. Flexible and adaptable, ability to adjust to changing priorities and manage multiple projects concurrently. Team player with proven people skills. Excellent oral and written communication skills. CT RN license must be current and unrestricted. CCM preferred or within 3 years of hire. Must hold a valid and unrestricted motor vehicle operator's license and have reliable transportation.

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

CHNCT Offers Great Benefits:

• Medical, dental and vision coverage options
• Flexible spending and health savings accounts
• Group term life insurance
• A 401(k) plan with company-match and immediate vesting
• Voluntary accidental injury coverage
• Tuition reimbursement and continuing education opportunities
• A generous paid-leave bank and company holidays
• Wellness program

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.