Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Manager, ACO Ambulatory Care Coordination

Expired Job

Dartmouth-Hitchcock Concord Bedford , NH 03110

Posted 3 months ago

Leads ACO Ambulatory Care Coordination programs for both D-H attributed patients and external partnering providers. Working closely with Regional Medical Director and local site leadership acts as the principal manager of ACO care coordination and case management, to include analysis of cost, length of stay, utilization, and clinical quality.


  • Facilitates collaboration between ambulatory, inpatient and post-acute care coordination services between D-H and external organizations.

  • Manages day-to-day operations and activities related to ACO ambulatory care coordination. Including appropriate staffing levels and site coverage.

  • Manages standard workflows and procedures for ambulatory care coordination as well as measurement and reporting of care coordination outcomes.

  • Manages workload data and works collaboratively with staff to make informed decisions to achieve equitable workload distribution.

  • Organizes and leads ambulatory care coordination learning collaborative for D-H care coordinators and external partners. Organizes and provides educational programs for care coordination staff, local sites and external partners as needed to support and enhance ACO performance.

  • Leads projects around continuous improvement of ACO care coordination.

  • Participates in departmental leadership meetings and on-going evaluation of the quality and scope of ACO programs. Serves as a conduit for communicating strategic and operational information between staff and administration.

  • Measures and monitors systems, processes and care coordination trends. Continuously informs the department director of performance and appropriately escalates performance variances, system barriers, and/or developments including all areas of practice, including clinical, psychological, social and environmental.

  • Works efficiently and effectively with external reviewing and paying agencies including Medicaid and Medicare, third party payers and community agencies as needed to facilitate care coordination.

  • Provides consultation to staff on cases involving difficult care coordination or practice issues.

  • Manages the selection of care coordination staff. Coordinates orientation of new staff. Facilitates completion of annual performance appraisals for assigned staff and takes action to address performance deficits. Maintains a peer-to-peer coaching and feedback system.

  • Performs other duties as required or assigned.

Minimum Qualifications:

  • Master's degree (or matriculated into a master's degree program)

  • BSN required.

  • 3 years of experience working with payer quality improvement programs required.

  • 5 years of management/leadership experience required.

  • Care management experience required.

  • Demonstrated experience in managing multidisciplinary clinical programs in both hospital and community-based health and social service delivery systems.

  • Strong leadership, written and verbal communication, and computer skills.

  • Demonstrated application of quality management and improvement.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Behavioral Health Clinical Care Mgr

Centene Corporation

Posted 6 days ago

VIEW JOBS 11/9/2018 12:00:00 AM 2019-02-07T00:00 Position Purpose: Handle inbound and outbound member and provider calls on a clinical phone queue. Ensure members receive behavioral health services appropriate to clinical need. Triage crisis calls to assist with stabilization and access to emergency evaluation. Coordinate services with other departments, such as medical case/care management. Perform utilization management functions, including authorization determinations and care shaping. Handle member calls, performing activities such as telephonic clinical assessment, determining appropriate level of care and services and answering benefit questions. Perform utilization review functions with behavioral health providers, including care shaping and authorization determinations. Responsible for utilization management activities with providers and/or member calls, depending on team. Triage crisis calls, providing in-the-moment support and assisting with access to emergency services. Use established protocols, as well as clinical judgment, to evaluate and problem solve during interactions with members and providers. Document all calls and activities within a data management system and access multiple databases for benefit and workflow information. Enhance clinical knowledge and skills by actively participating in all assigned training and staff meetings Education/Experience: Master's degree in behavioral health and 3 years of behavioral health experience (at least 2 years must be post-Master's degree). Prior managed care experience preferred. Prior experience with multiple system applications and electronic data entry, including call center and/or health care databases preferred. Experience in treatment of substance abuse a plus. Valid driver's license and proof of insurance is preferred. License/Certification: Unrestricted license as Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or Licensed Psychologist (PhD). Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Centene Corporation Bedford NH

Manager, ACO Ambulatory Care Coordination

Expired Job

Dartmouth-Hitchcock Concord