Supervisor, Care Coordinator

Managed Care Operations Albuquerque, New Mexico


Description

Title: Supervisor, Care Coordination

 

Location: New Mexico

 

Company Description

The mission of Oak Street Health is to rebuild healthcare as it should be. 

We are a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare.

The Oak Street model integrates outstanding clinical expertise, technology, and teamwork to deliver improved care quality and cost savings. These cost savings are then reinvested into care in our communities, creating a virtuous cycle of improving community health. 

We are a national organization serving over 100,000 patients and we are growing rapidly. We are a diverse team of care providers, service team members, technologists, community outreach experts, business professionals, and more -- all dedicated to our Oaky Values and motivated by our mission. We’re looking forward to getting to know you!

For more information, visit www.oakstreethealth.com.


 

Role description:

This position has direct supervision over Care Management  teams and is responsible for providing leadership, planning, direction, and implementation of all aspects of the Care Coordination program. The Supervisor is responsible for ensuring team adherence to program standards, meeting metrics as set by management, and staff education both individually and on a group level.

Responsibilities:

  • Directly manage care coordination staff, including but not limited to, hiring, training, monitoring workload, conflict resolution, team meetings, preparing and conducting performance evaluations, and implementing performance improvement and disciplinary actions, when necessary.

  • Provide oversight to ensure compliance with program responsibilities and staff management.

  • Demonstrate ability to navigate multiple programs to identify priorities and opportunities for collaboration.

  • Ensure collaboration between Care coordination roles, supportive roles, and center care teams.

  • Possess knowledge of contractual requirements and, where applicable, State and/or Federal regulations for assigned programs and ensure compliance with requirements

  • Act as a subject matter expert in the review of program descriptions, policies, and program evaluations.

  • Review care coordination processes and key performance indicators to provide an individual assessment of compliance risk, internal control and the overall effectiveness and efficiency of the process.

  • Create training strategies, initiatives, and materials.

  • Create and maintain job aids for case management roles.

  • Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice.

  • Under certain circumstances may need to support or carry a partial caseload.

  • Ability to travel to facilities, member homes, or other settings as needed.

  • Assistance with center activities, as needed.

  • Other duties, as assigned.

Qualifications:

We are looking for a licensed Registered Nurse or licensed Social Worker with:

  • Bachelor’s degree or Master’s degree preferred, with minimum of two years relevant health care experience

  • Knowledge of Medicaid/Medicare contracts and benefit systems is preferred

  • Demonstrated customer-focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, members, and families

  • Ability to work autonomously, follow through with delegated tasks and be directly accountable for deliverables

  • Outstanding verbal and written communication skills

  • Ability to work independently and maintain flexibility in a fast-paced environment

  • Excellent interpersonal and facilitation skills

  • Excellent organizational skills and ability to manage multiple priorities appropriately

  • Working knowledge of Microsoft Office Product Suite

  • Working knowledge of Google Suite

  • US work authorization

  • Someone who embodies being “Oaky”


 

What does being “Oaky” look like?

  • Radiating positive energy

  • Assuming good intentions

  • Creating an unmatched patient experience

  • Driving clinical excellence

  • Taking ownership and delivering results

  • Being scrappy


 

Why Oak Street?


Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

  • Collaborative and energetic culture

  • Fast-paced and innovative environment

  • Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.