Manager, Care Management

Position Details

Department: PCH-MAIN | Phx Children's Care Network
Category: Director/Management
Location: Phoenix
Employee Type: Regular
Posting #: 459279
Posted On: 6/25/2019

Position Summary

Care coordination is the deliberate organization of patient care activities to facilitate the appropriate delivery of health care services. This position manages the activities of PCCNs care coordination team who work at a centralized location and interact with families primarily telephonically. The Care Management Team include RN Care Managers, Social Workers, and Care Navigators in coordination with department Leads. The Manager of Care Management oversees daily operations for the team, providing guidance, mentoring, and education to support and develop staff. The Manager of Care Management collaborates with the clinical leadership to develop programs to meet emerging needs of children, families, and staff and to support contractual obligations with payer partners. This position works independently and reports to the Director, Clinical Integration.

Position Duties

  1. Leadership
    • a) Provides guidance, mentoring, and direction as appropriate for ongoing staff development.
    • b) Plans, writes, recommends and implements approved procedures and guidelines to support the organizations policies, values and mission.
    • c) Coordinates work activities of assigned staff to promote achievement of established goals, objectives, and outcomes.
    • d) Provides team leadership, demonstrating strong, consistent, clear communication and serves as central point of information for team members.
    • e) Coordinates with other matrixed departments, such as Practice Integration and Clinical Informatics.
    • f) Works closely with the RN Informatics Manager to communicate workflows and align on system designs.
    • g) Identifies and fosters care management system subject matter experts to be available for system testing for all supported workflows.
    • h) Implements quality assurance processes to support a consistent patient and family experience
    • i) Collaborates with clinical leadership on initiatives to improve quality performance against pre-defined gap in care and utilization metrics.
  2. Education and Human Resource Coordination
    • a) Participates in the employee selection process and makes hiring decisions with the Director of Clinical Integration. Has the authority to hire, terminate, advance and/or promote employees in coordination with the Director of Clinical Integration and Human Resources department.
    • b) Evaluates performance of direct reports and completes performance appraisals.
    • c) Develops care management staff through ongoing goal setting, training and performance feedback, in coordination with department Leads.
    • d) Handles all aspects of employee complaints and/or grievances, including administering disciplinary actions and developing plans of action.
    • e) Coordinates the orientation of new staff to the organization, department, and department policies and procedures.
  3. Analyzes Department Data
    • a) Evaluates departmental practices and protocols and looks for alternatives on an ongoing basis.
    • b) Monitors the care management teams performance and productivity through available reports, providing support and direction as needed to achieve departmental goals.
  4. Education
    • a) Maintains professional competency by regularly participating in a variety of educational programs and in-services, reviewing relevant professional publications, participating in community based committees related to service line responsibilities, and/or participating in professional societies to ensure ongoing awareness of current methodologies, practices and philosophies as applied to the patient care population.
  5. Customer Service
    • a) Coordinates complaints/grievances from families and patients and serves as an escalation point for difficult cases.
    • b) Communicates clearly in both written and verbal communications with all internal and external customers.
    • c) Routinely provides excellent service in interactions with all internal and external customers.
    • d) Responds to email within 24 hours or one business day.
  6. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
The position has been closed or filled.

Please search our career site for positions that are currently active and accepting resumes at https://careers.phoenixchildrens.com