Director, Enhanced Care Management

🕒 Novembro 4

🌵 Arizona, California, +7 estados a mais – Remoto

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🌽 Illinois – Remote 🎰 Nevada – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $145.000 - $160.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 14%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 8 dias.
• As vagas desta empresa costumam ser preenchidas em 40 dias.

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Vynca

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2014

💼 Consultoria

⚕️ Seguro de Saúde

🏥 Saúde

Consulting • Healthcare Insurance • Healthcare

A Vynca é uma empresa de saúde que se especializa em cuidados paliativos para pacientes com doenças graves. A organização foca em aprimorar o gerenciamento de cuidados, oferecendo suporte que inclui gestão da dor, aconselhamento em saúde mental, apoio espiritual e planejamento antecipado de cuidados. A Vynca tem como objetivo auxiliar pacientes a navegarem por condições crônicas e cuidados complexos, garantindo que recebam suporte abrangente de uma equipe dedicada de profissionais da saúde, tanto presencialmente quanto virtualmente. Os serviços geralmente são cobertos por grandes planos de saúde, levando cuidados essenciais diretamente aos pacientes em suas casas ou através de capacidades de telemedicina.

Descrição

• Direct and oversee operations of Vynca’s Enhanced Care Management program • Develop, implement, supervise, and manage the Enhanced Case Management Program • Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff • Refine and implement program policies, procedures, standard operating procedures, and workflows • Oversee day-to-day ECM operations, assessments, intakes, care planning, crisis management, and transition plans • Ensure CalAIM contract goals, objectives, regulatory requirements, data requirements, and SLAs are met • Maintain records and billing requirements to required standards • Oversee staffing and staff training • Run EHR reports as needed • Oversee claims submission, denials, and receipt of payments • Represent the organization with the public, local businesses, employers, health plans, vendors, and regulators • Provide ECM reports to management and managed care plans • Develop strategic messaging and address patient objections • Manage quality assurance programs and client experience • Develop KPIs aligning team performance with business objectives • Manage P&L and report business results in monthly operations reviews • Resolve complex business problems and pivot as needed • Collaborate with department leaders, business development, and clinical operations on referral management and patient onboarding • Support the VP of Clinical Operations in developing strategies for improved health outcomes, patient care, and cost of care • Model Vynca’s core values and ensure staff understand the organization’s values and mission • Travel occasionally for leadership meetings, staff training, job duties, and company events

🎯 Requisitos

• Bachelor's Degree required or an equivalent combination of education and experience • 5+ years of people management experience in a similar environment • Remote workforce and/or multi-site supervisory experience required • 3+ years of care management experience required • Experience with Enhanced Care Management programs highly preferred • Strong understanding of managed care programs highly preferred • Proven, results-driven business leader with P&L responsibility experience • Proficient with Microsoft and Google applications, plus general computer literacy • Strong adaptability to work collaboratively and cross-functionally in a remote environment • Must have access to reliable internet connection • Ability to work with complex and multifaceted tasks and systems • Experience working with culturally, ethically, sexually, and socio-economically diverse populations • Experience working with multidisciplinary teams • Willing and able to travel a minimum of quarterly for leadership and team meetings, including staff training • Willing and able to support Pacific Time core business hours (Monday-Friday, 8:30am-5pm) • Must be legally authorized to work in the United States • Background check required prior to employment • Employees in patient, client, or customer-facing roles must be vaccinated against influenza

🏖️ Benefícios

• Medical, dental, and vision insurance • Income protection benefits • Flexible PTO • Company holidays • 401k • Access to other wellness benefits • Bonus

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