[Remote] Clinical Manager (North Area - Middlesex and Essex County)

Note: The job is a remote job and is open to candidates in USA. Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. The Manager, Integrated Care Management - Nursing is responsible for day-to-day operations and staff management, implementation of care management programs, and ensuring quality care and compliance with standards.ResponsibilitiesResponsible for implementation and monitoring effectiveness of new and existing Care Management programs, including but not limited to: Telephonic care management and onsite transition of care interventionsCompliance with applicable regulatory and accrediting standards; care management process and interventions consistent with national best practices; demonstrated through scheduled department and quality auditsDefining and monitoring outcomes and regular reporting for areas of accountabilityInterface with Care Management vendors and programs for bidirectional referralsEstablishment of written policies and procedures pertaining to Care ManagementProvide direct oversight of coordinators, RN care managers and other interdisciplinary staff working in a remote and/or office-based or hybrid environment. May supervise staff performing member home visitsGuide and enhance the core competencies and professional development of reporting staffFacilitate and enhance team collaboration to optimize program and member outcomes through integrated servicesFacilitate collaboration with internal and external stakeholders to maximize partnerships for case management program success, including alignment with provider network and employersServe as consultant and resource for complex situationsOversee the management of department human resources related objectivesSupport realization of department administrative budget targetsRepresent Care Management in relevant corporate teams as requiredImplement and support fulfillment of corporate objectives within jurisdictionOther projects and duties as assignedSkillsRegistered Nurse with current unrestricted Massachusetts license requiredBachelor's degree or equivalent relevant experience5 years of RN experience in nursing in a clinical settingExcellent communication skills (verbal, electronic, etc.)Must possess skills and traits of an effective Coach, Mentor, and Critical ThinkerDemonstrates ability to manage and prioritize multiple complex issues throughout the workday in a flexible and professional mannerMust work well, both independently and autonomously as well as cooperatively as a team member across multiple levels within the organizationRecognizes need to escalate issues and seek guidance appropriatelyResults orientation - strives to meet business goals in an ever-changing healthcare environmentDemonstrated proficiency in reviewing clinical and financial dataKnowledge and experience in effective case management interventions and strategies across populationsDemonstrates strong clinical and critical thinking abilitiesWell-developed analytic skills, problem solving, as well as written and verbal communication skillsSound computer and technological skillsSkilled negotiator, influencing others – particularly those outside of direct reporting relationshipsCapable of effectively encouraging, supporting, motivating, and leading othersDemonstrates collaboration in a way that boosts, promotes, and creates a positive work environmentWilling to share constructive criticism and feedback in a supportive, sensitive, and patient mannerRegard for confidential data and adherence to corporate compliance policyMust demonstrate commitment to excellence in customer serviceConsiders creative alternatives to traditional/conventional practices and takes risk when appropriate to the situationMaintains the highest regard for confidential data and adherence to corporate compliance policyNational Certification in Case Management is preferredBA/BS DegreeExperience in managed care systems and operations is highly desirable and must demonstrate sound knowledge of care management principles2-3 years of experience managing and leading a teamPrior home care experienceBenefitsMedical, dental and vision coverageRetirement plansPaid time offEmployer-paid life and disability insurance with additional buy-up coverage optionsTuition programWell-being benefitsFull suite of benefits to support career development, individual & family health, and financial healthCompany OverviewPoint32Health is a leading health & wellbeing organization, delivering an ever-better health care experience to everyone. It was founded in 2021, and is headquartered in Canton, Massachusetts, USA, with a workforce of 1001-5000 employees. Its website is https://www.point32health.org.