Under the direction of the department manager or designee, the Supervisor will oversee utilization review, care management, and other staff and areas as assigned. This position will be responsible for day-to-day operations of the Care Management, Population Health, and other programs as assigned within Valleywise Health. This position is responsible for implementing and maintaining ambulatory practice standards that support the delivery of patient-centered, cost-effective, and quality-driven care. The individual will work with leadership in measuring coordination/population healthcare outcomes. Duties include data collection, analysis and reporting to ensure ongoing compliance with all Utilization Review/Care Management practices.
Annual Salary Range: $89,897.60 - $132,600.00
This position is a Varied Schedule
Qualifications
Education:
- Requires a Bachelor’s Degree or higher in Nursing.
Experience:
- Requires at least three (3) years of progressively responsible healthcare care management-related experience (e.g., regulatory/ accreditation programs and care management) that demonstrates a solid understanding of the required knowledge, skills, and abilities.
- Prefer prior supervisory experience.
Certification/Licensure:
- Requires certification in care management/quality (e.g., ACM, CCM, CPHQ, CTM) within six (6) months of hire.
- Must possess a current, valid AZ RN license, temporary AZ RN license, or valid compact RN licensure for current state of practice.
- Must be in good standing with the issuing Board of Nursing.
- Requires BLS card obtained through an approved American Heart Association (AHA) training center within 3 months.
Knowledge, Skills, and Abilities:
- Requires knowledge of care management guidelines and compliance with regulatory standards.
- Requires competent computer skills including typing skills and use of Microsoft applications.
- Must have hands-on experience and knowledge of MIDAS, Epic EMR system and care management concepts requirements.
- Must have the ability to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale.
- Must be approachable, people-oriented, and a good listener.
- Must be able to communicate effectively and have excellent customer service skills.
- Must be a change agent able to develop, implement, and maintain policies and processes.
- Requires the ability to be a creative, independent thinker.
- Must exhibit a high degree of professionalism, customer service, and enthusiasm.
- Must possess solid analytical and problem-solving skills.
- Requires basic computer word processing skills (e.g., formatting, editing, printing, composing email, internet searches, etc.) to navigate through an electronic medical record using a computer successfully.
- Requires the ability to read, write, and speak effectively in English.
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