Manager, Acute Care Management
Core
Lead and oversee care coordination and case management programs for older adults, ensuring effective service delivery and operational compliance.
Role type
Manager, Acute Care Management
Builds
Care coordination and case management programs for Medicare Advantage and complex member populations
Domain
Healthcare / Managed Care / Medicare Advantage
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care coordination, Case management, Transitions of care, Utilization management, Population health management, Clinical operations management, Performance & metrics management, Process improvement, Regulatory compliance, Data analysis
Preferred skills
Registered Nurse (RN) license, Certified Case Manager (CCM) certification, Leadership experience, Managed care experience
Technologies
None explicitly stated
Responsibilities
Direct daily care coordination operations and staff assignments, Lead and develop assigned staff including recruitment and performance management, Establish and monitor operational and quality performance metrics, Ensure compliance with regulatory and organizational requirements, Partner with providers and cross-functional partners to resolve operational challenges, Develop and maintain policies and workflows
Seniority
Manager, direct people management
