Job Opportunities in United States

Job Summary
This position is responsible for managing the Regional Care Teams within a CCO. This position provides direct oversight for all care management activities, integrated clinical health services provided through the Regional Care Teams and the implementation of other Population Health Program (PHP) initiatives. This position functions as a member of the CCO leadership team and the PHP Management/Leadership Team, participating in strategic planning and design of clinical operations, managing the work of the RCT, and evaluating outcomes to ensure high quality member centered support and continuous process improvement.

Essential Responsibilities

• Provide clinical and operational leadership for staff providing care management services and other clinical operations and initiatives through the Regional Care Teams.
• Responsible for the oversight and clinical supervision of Regional Care Team staff, including a Care Team Supervisor, clinical care coordinators, and non-clinical care coordinators.
• Provide clinical leadership in the development and review of clinical protocols and processes that support member centered care plans, appropriate referrals, and consistent quality care for members.
• Partner with the PHP Management/Leadership Team and the CCO or regional leadership team to promote strong teamwork, collaboration, and integration.
• Plan, coordinate, and oversee delivery of clinical services in compliance with all State and Federal regulations.
• Work closely with other managers across the organization to ensure integration, collaboration, and support of organizational activities and goals including the development, management and evaluation of care enhancing cost-control programs and population health initiatives in collaboration with delivery system partners, CCO or regional leaders, and social service agencies.
• Participate in the implementation of strategic clinical initiatives for members that reduce cost and improve health and quality of life while meeting the CMS SNP model of care requirements.
• Identify gaps in care for our membership and work collaboratively to remove these barriers.
• Actively participate in annual program goal setting that aligns with organizational strategic goals.
• Responsible for participating in the planning and implementation of strategies related to quality standards and metrics.
• Support clinical collaboration with delivery system leaders in the region to build a strong foundation of member centered care and population health program support for statewide primary, secondary and tertiary delivery systems.
• Develop and maintain strategic and operational partnerships with community-based social service organizations to assure we can leverage and improve access to upstream non-medical health-enhancing services for its members especially for those experiencing a transition in care.
• Represent Care Oregon on appropriate local, state, and national committees and work groups; pursue opportunities to connect Care Oregon to broader learning and innovation platforms.

Employee Supervision

• Manage team and recommend team direction and goals in alignment with the organizational mission, vision, and values.
• Identify work and staffing needs to meet work expectations; recruit and hire, using an equity, diversity, and inclusion lens.
• Plan, organize, schedule, and monitor work; ensure employees have information and resources to meet job expectations.
• Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
• Train, supervise, motivate, and coach employees; provide support toward employee development.
• Incorporate guidance from Care Oregon equity tools into people leadership, planning, operations, evaluation, and decision making.
• Ensure team adheres to department and organizational standards, policies, and procedures.
• Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).
• Perform supervisory tasks in collaboration with Human Resources as needed.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education
Required

• Bachelor of Nursing degree with a current unencumbered RN license in the State of Oregon or Master’s Degree in Social Work, Psychology, or Counseling
• Minimum 4 years’ experience in a clinical population health program
• Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle

Preferred

• Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of Care Oregon’s Aspiring Leaders Program
• Supervisory experience in managed care
• Licensure (LPC, LCSW, LMFT, LMSW, LMHC or equivalent) for candidates with a Master’s Degree in a Behavioral Health field

Knowledge, Skills and Abilities Required
Knowledge

• Clinical knowledge of the management of diverse medical, Behavioral Health, and psychosocial problems, and a deep understanding of the health effects related to poverty, societal discrimination, and intergenerational trauma
• Knowledge of managed care and publicly financed health care stewardship principles
• Understanding of health literacy, shared decision making, and advanced care planning principles

Skills and Abilities

• Ability to work in an environment with diverse individuals and groups
• Leadership effectiveness, analytical capability, and ability to design and implement constructive change within an organization and across multiple organizations
• Ability to utilize process improvement methods to continuously evolve program processes toward greater efficiency and effectiveness
• Ability to design and implement new clinical initiatives and strategies that improve population outcomes and have the potential to reduce avoidable acute care utilization
• Ability to lead a diverse group of people toward a common vision with proven results related to motivation, engagement, and goal attainment
• Strong people management skills
• Highly effective planning, organization, continuous improvement, and interpersonal skills
• Excellent written and verbal communication skills across all levels within and outside of the organization
• Ability to train diverse groups about population health, complex care management, and triple aim principles
• Ability to participate in complex program evaluation activities
• Ability to be highly collaborative, cross-functional, and systematic
• Ability to work with a high degree of diplomacy, credibility, and persuasiveness to consistently cultivate effective working relationships. Effectively expresses ideas and gains their acceptance
• Ability to work with high-energy, be persistent, assertive, data driven and focused
• Ability to be proactive, action oriented, performance driven and persistent in accomplishing difficult tasks
• Ability to work with an open leadership style and actively seek out and support collaborative thinking and problem solving with others inside and outside the organization and approaches his/her work as an interconnected system
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

• Ability to operate a motor vehicle

Working Conditions
Work Environment(s): Indoor/Office Community Facilities/Security Outdoor Exposure
Member/Patient Facing: No Telephonic In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment and/or mobile technology
Travel: Requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

#MULTI
Candidates of color are strongly encouraged to apply. Care Oregon is committed to building a linguistically and culturally diverse and inclusive work environment.
Veterans are strongly encouraged to apply.
We are an equal opportunity employer. Care Oregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Visa sponsorship is not available at this time.