Director, Enhanced Care Management

🕒 il y a 2 jours

🌵 Arizona, California, +7 états de plus – Distant

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

💵 $145 000 - $160 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 14%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Vynca

Site WebLinkedInTous les Emplois

51 - 200 employés

Fondée en 2014

💼 Conseil

⚕️ Assurance santé

🏥 Santé

Consulting • Healthcare Insurance • Healthcare

Vynca est une entreprise de soins de santé spécialisée dans les soins palliatifs pour les patients atteints de maladies graves. L'organisation se concentre sur l'amélioration de la gestion des soins en fournissant un soutien qui inclut la gestion de la douleur, le conseil en santé mentale, le soutien spirituel et la planification anticipée des soins. Vynca vise à aider les patients à naviguer dans les maladies chroniques et les soins complexes, en assurant qu'ils reçoivent un soutien complet d'une équipe dédiée de professionnels de santé, tant en personne que virtuellement. Les services sont souvent couverts par les principales compagnies d'assurance, apportant les soins essentiels directement aux patients dans leurs foyers ou par le biais de la télémédecine.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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

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