Population Health Manager (Registered Nurse) - Medicaid - Carolina Family Patient Support Services

Come join our Family" and be part of providing healthcare In the Community…For the Community.

Carolina Family Health Centers Inc. provides accessible and affordable health care with excellence...where patients come first. Regardless of an individuals ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit federally qualified health center (FQHC), we strive to meet the needs of our community and break down barriers that prevent individuals from seeking health care.

Our service offering includes primary medical care, behavioral health, pharmacy, and dental services in an integrated model that provides a comprehensive approach to care for our patients.

Position Overview

The Population Health Manager Registered Nurse - Medicaid Managed Care oversees the day-to-day activities of the Population Health Program. This is accomplished through the direct supervision of case managers and care coordinators who provide care management, transition of care, care coordination, and other population management activities to the patients of CFHC Inc. with an emphasis on patients with Medicaid.

The manager is knowledgeable in the principles of case management, including Medicaid managed care, and works closely with the CFHC Inc.s clinically integrated network. The manager provides case management services to a small case load of patients.

THIS POSITION OFFERS

• A 40-HOUR WORKWEEK
• NO WEEKENDS
• FULL BENEFITS PACKAGE
• 12 PAID HOLIDAYS
• BI-ANNUAL BONUS
• BI-WEEKLY PAY

Essential Tasks

• Provides direct supervision to the case managers and care coordinators. This includes but is not limited to: • Interviewing • Hiring • Providing training and orientation • Distribution and determination of responsibilities • The on-going evaluation of the staffs performance
• Monitors staff productivity and department success through regular reporting and communication to executive staff
• Performs audits and run reports to monitor staffs adherence with CFHC Inc., the Carolina Medical Home Network, and other regulatory agencies rules and regulations for providing and documenting case management services
• Represents CFHC Inc. at Carolina Medical Home Network meetings
• Attend other meetings and participate in committees as assigned (i.e. Population Health CIT, etc.)
• Reviews software system functionality and develop and document efficient workflows for staff
• Serves as point of contact for local hospitals discharge planners to identify patients admitted to the hospital or patients who have used the emergency room in hopes of reducing 30-day hospital readmission rates or inappropriate emergency room use

Experience and Education

• Graduate of an accredited school of nursing
• Licensed as a Registered Nurse in the State of North Carolina
• Three years in a healthcare environment with supervisory management background and experience in case management
• Must have a personal vehicle readily available to freely travel in the local area between clinics, hospitals, health departments, etc.

Schedule

• Monday to Friday
• 8am-5pm
• 8 hour shift
• Day shift

Physical Requirements

• Constant standing and walking
• Occasional bending, stooping, lifting, reaching forward and overhead
• May occasionally be required to lift patients, office equipment, and paper, usually not exceeding fifty pounds of direct lift
• Frequent computer work required

Benefits

• 401k and match
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Holidays
• Vision insurance

Job Type

• Full-time
• On-site

License/Certification

• Active NC Driver License
• Registered Nurse (RN)

Base Pay

• The starting pay for this position is $68,640.00. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the role.