Manager Of Complex Care Coordination - Health Plan Services

Job Title

Manager of Complex Care Coordination

Department

Health Plan Services

This position is exempt from Career Service under the CCH Personnel Rules

Job Summary

The Manager of Complex Care Coordination is responsible for managing and leading a multidisciplinary care team composed of care coordinators and community health workers to provide effective, efficient care coordination. Leads the day to day activities of the care coordinators, including scheduling, case assignment, mentoring and problem solving. Collaborates with the Director of Complex Care Coordination to identify improvement opportunities, create efficient processes and leverage resources appropriately, while supporting Cook County Health (CCH) and CountyCare Health Plan. Works with enrollees, providers and administrative staff to identify ways to improve integration with the medical home teams for those who have complex medical/social or behavioral needs as well as for the maternal child health population or enrollees with acute needs or chronic disease.

General Administrative Responsibilities

Collective Bargaining

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals

• Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline

• Document, recommend and effectuate discipline at all levels

• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements

• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision

• Direct and effectuate CCH management policies and practices

• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management

• Contribute to the management of CCH staff and CCH systemic development and success

• Discuss and develop CCH system policy and procedure

• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements

• Work with Labor Relations to discern past practice when necessary

Typical Duties

• Manages caseloads and oversees case assignment for member s by risk category and population, as well as, residing in long term care, supportive living facility receiving home and community-based waiver services in accordance with departmental policy and procedure. Monitors workloads to assure a distribution that is accordance with contractual requirements.

• Develops processes to facilitate and support education and onboarding.

• Ensures work is completed in a timely manner and addresses issues with work completion.

• Collaborates with the care team to continuously improve the process of assessment, care planning, service planning, interdisciplinary care, care coordination, and evaluation.

• Regularly conducts care team meetings as needed to address concerns or needs.

• Develops and implements process to successfully on-board staff members and support tenured staff members during times of transition such as changes in policy and procedures or workflow modifications.

• Uses care management system generated data to develop an approach to monitor staff performance and provide timely, relevant feedback to staff.

• Adheres to contractual obligations to reporting key events and requests for response according to contractual requirement or accreditation standards.

• Initiates efforts to improve team performance regarding key performance indicators, develops approaches to assure team achieves targets.

• Facilitates staff staying up to date with changes in regulations, accreditation requirements and best practices in care coordination.

• Analyzes data supporting trends in patient care and improves process as needed.

• Works collaboratively with departments throughout CCH to support achievement of organizational/departmental goals.

• Supports of the Care Coordination participants and care teams in workflow (re)design.

• Supports resource utilization in a manner that is consistent with budget and resource targets.

• Supports care coordination quality improvement efforts.

• Supports readiness activities for National Committee for Quality Assurance (NCQA) accreditation.

• Travels to the home of Enrollees or their sites of care to conduct supervision visits as required by departmental policy.

• Performs all other duties as assigned.

Minimum Qualifications

• Bachelor's degree or higher from an accredited college or university is required (Official transcripts must be provided at time of interview)

• Must be License in the State of Illinois as a Registered Professional Nurse, Licensed Clinical Social Worker, Licensed Social Worker, Licensed Clinical Professional Counselor, OR Licensed Professional Counselor is required

• Three (3) years of care coordination work experience in health services or social services is required

• Two (2) years of experience working for a culturally diverse population is required

• One (1) year of supervisory work experience with a multi-disciplinary team is required

• Prior case management software work experience is required

• Position requires moderate travel for which the employee must have a valid driver's license in good standing and access to an insured vehicle is required

Preferred Qualifications

• Master's degree in Healthcare or Business Administration from an accredited college or university is preferred (Official transcript must be provided at the time of interview)

Knowledge, Skills, Abilities and Other Characteristics

• In-depth knowledge of insurance concepts, managed care and Medicaid/Medicare

• Knowledge of SharePoint software

• Knowledge of Microsoft Office

• Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups

• Ability to assess, problem solve and make decisions on available data

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

VETERAN PREFERENCE

PLEASE READ

When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.

• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"

• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from ei

• ther the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage

• Basic Term Life Insurance

• Pension Plan

• Deferred Compensation Program

• Paid Holidays, Vacation, and Sick Time

• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/

MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION

• Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.

• Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

• CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER