Director of Nurse Care Management and Coordination

Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, and creates continuous learning and embraces the ideas and diversity of others.

As part of our Mission to make Healthcare more accessible and affordable for our clients through innovation solutions and expert consultation, we value the inherent qualities that are foremost in our Mission, Vision, Values- Compassion, Humility and Impact, which allow us all to create authentic relationships with our team and our clients.

Position Summary:

The Director of Nurse Care Managers and Coordinators provides inspired leadership for the Advanced Care Programs of business, making important policy and strategic decisions while developing and implementing operational policies and procedures. This role promotes a company culture that encourages morale and performance, organizes and coordinates the clinical aspects of departmental programs, and manages a diverse clinical staff to achieve timely and desirable results.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Advanced Care Programs Operations Management: Oversee daily clinical operations, ensuring compliance with laws and regulations while monitoring program performance.
• Program Development: Develop and implement strategies for program growth, identifying and addressing problems and opportunities for improvement.
• Guidelines and Policies: Develop and maintain guidelines by writing and updating policies and procedures to ensure adherence to relevant standards.
• Cultural Promotion: Promote a company culture that encourages top performance and high morale among staff.
• Quality Assurance: Assure quality of care by interpreting clients' Summary Plan descriptions and contractual agreements to ensure compliance with state nursing board requirements and other regulatory agencies.
• Stakeholder Collaboration: Work with senior stakeholders and build alliances with other organizations to enhance program effectiveness.
• Team Coordination: Maintain cooperative relationships among healthcare teams by communicating effectively, responding to requests, and participating in team problem-solving.
• Staff Management: Directly supervise nursing staff, including lower-level clinical management, ensuring effective training and competency maintenance.
• Reports to Senior Vice President of COE and Advanced Care Programs.
• Performance Evaluation: Evaluate the quality and effectiveness of nursing services through feedback from contracted providers and clients, identifying opportunities for service improvement and enhanced patient outcomes.
• Issue Resolution: Intercede effectively with families, patients, clients, and vendors to resolve concerns related to service delivery.
• Interdisciplinary Collaboration: Collaborate with nursing staff at all levels, interdisciplinary teams, executive staff, and other stakeholders in the development, implementation, and evaluation of program services.
• Delegation of Responsibilities: Delegate responsibilities appropriately based on staff licensure, education, and experience while recognizing the diverse skill levels of individual team members.
• Meeting Participation: Attend and conduct meetings with vendors, providers, and clients, traveling as needed for education, training, and marketing of Specialty Care Management programs.

GENERAL EXPECTATIONS:

• Present a positive image of Consociate Health at all times.
• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer or co-worker.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Identify and perform work that has not been specifically assigned, as needed.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others.
• Attend required in-service and staff meetings.
• Seek other educational opportunities directly related to this position.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.
• Adhere to established safety standards and utilizes proper techniques to avoid work-related injuries.

SERVICE EXPECTATIONS:

• Greet all people in a prompt and courteous manner. Communicate in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.
• Ask customers what they need and strive to exceed their expectations. Offer and provide assistance whether or not the request falls within your specific job duties.
• Respond to customer requests in a timely manner consistent with Consociate Health’s standards and best practices, return calls promptly and keep them informed of delays before they ask.
• Make decisions based on customer needs, opinions, complaints or suggestions.
• Take appropriate steps to resolve problems to the customer's satisfaction.
• Ask customers for their opinions, accepting criticism as an opportunity to improve service.
• Seek opportunities, provide value-added services, and eliminate tasks that do not serve our customer.
• Remain aware of products and services provided by Consociate Health.
• Project a positive, professional image when working.

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:

• Unencumbered RN License.
• At least 3 years of prior supervisory experience.
• At least 2 years of hands-on experience in Specialty Care Management, demonstrating a clear understanding of administered benefits.
• Certification in Care Management with two years of hire.

BENEFITS:

• Paid time off
• Paid Holidays
• Medical, Dental and Vision Insurance
• Basic Group Life, Short Term and Long Term Disability
• Voluntary Life, Critical Illness and Accident Coverage
• 401K Plan: Employees are immediately eligible with a 2% automatic enrollment. Consociate matches up to 4% of an employees' annual salary.