The range for this role is $80,000 to $109,000
Actual base pay will be determined based on a successful candidate's work location, skills / abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 10% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.
Interested candidates must be willing and able to work onsite full-time in either our Melbourne, FL or Orlando, FL office.
The Mission
At Christian Care Ministry we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.
The Team
Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God to the best of our ability.
The Job
The Clinical Manager, Care Management oversees and develops clinical staff to ensure individual and team performance and quality of work aligns to organizational objectives and the strategic direction of the department. This role will collaborate with department and multi-disciplinary clinical teams to facilitate positive outcomes for our Medi-Share members. The role will support implementation of clinical strategies to achieve and maintain optimal wellness, and will identify and support resolution of operational and technical challenges in the department.
Essential Job Duties & Responsibilities
- Provides leadership and guidance to the team in the area of Workforce Management
Ensures staff are educated on their individual and team roles and responsibilities to carry out the ministry's goals and objectives
Daily evaluates and assigns the inflowing work to the team membersManages within our Human Resource Information System (ADP) time-off requests from team membersReports to their immediate direct reporting manager, any and all impediments to a team members' ability to workReports to their immediate direct reporting manager, regular performance feedback of each team memberProvides leadership and guidance to the team in the area of Quality ManagementEnsures new-hire training and education on the Medi-Share Program Guidelines relative to health care, nursing, rehabilitative, and spiritual services to support the education of members
Identifies opportunities for process-improvement within the teamPerforms audits to ensure that work follows proper process and documentation to meet quality and service-level agreementsEnsures each team member remains up-to-date regarding knowledge and skills required for their positionEnsures each team member is cross-trained to work within the Care Management DepartmentProvides leadership and guidance to the team in the area of Performance ManagementPerforms regular 1 : 1 meetings with each team member to give and receive regular performance feedback
Develops and ensures accountability of performance goals, for their immediate direct reports and teamsDevelops performance metrics, for their immediate direct reports and teamsAssesses performance goals and metrics against established benchmarks to assure direct reports and teams achieve business expectationsIdentifies staff and team members whose performance falls below expected goals and when appropriate, develops a plan of action in cooperation with the staff member to remediatePerforms professional and performance coachingDevelops and executes corrective actionProvides oversight of the team's higher complexity casesDevelops and maintains the workflows, policies, and procedures that govern and guide staff activitiesCollaborates with interdepartmental and interdisciplinary teams to achieve improved member outcomesManages conflicts and escalations, high profile cases, and ensures proper notification of high dollar casesAssists senior leadership in the screening and hiring process for team membersEnsures professional communication and collaboration within the teamIdentifies for design and ensures execution of key team processes that foster interdepartmental and interdisciplinary collaboration for improved member outcomesProvides input to senior leadership to maintain vendor relationships, process improvement, and system integrationContributes to the exercise and expression of Christian Care Ministry's Christian beliefsAll other duties as assignedEssential Skills & Abilities
Clinical operations skill - proven ability to provide clinical operations support and direction to improve health outcomes for patients or members in areas of care, case, utilization, review, or general clinical management functionsEffective communication skill - able to motivate others to action and convey complex messages with simplicity in written and verbal formLeadership - proven ability to lead collaborative and high-performing teams effectivelyExpert knowledge of HIPPA, PHI, and PII rules and regulationsAbility to work independently to meet deadlines and deliver high quality recommendations and work productsAbility to navigate, lead, and implement change with direct reports, teams, peers and leaders within the organizationAbility to serve as a player / coach - leading and coaching others effectively while performing duties of the team ensuring high levels of service to members is accomplishedTraining skill - ability to teach and develop new skills and ability in othersComputer skill - ability to effectively navigate multiple software applications to document notes, track case load, extract reports, and interpret dataCore Competencies / Demonstrable Behaviors
Ensure Accountability - hold self and others accountable to meet commitmentsCollaborates - builds partnerships and works collaboratively with others to meet shared objectivesCommunicates Effectively - develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiencesDirects Work - provides direction, delegates, and removed obstacles to get work doneCourage - steps up to address difficult issues, says what needs to be said with respect and authorityEducation and / or Experience
Bachelor's degree in a healthcare or nursing-related field, OR equivalent experience requiredRegistered Nurse with current unrestricted multi-state compact license required5 years' experience in clinical operations (case management, care management, utilization management, clinical health coaching) required; preferably in a healthcare payer organizationPrior experience in a leadership role managing or coaching clinical teams requiredPrefer health care payer, operations, and change management expertiseSupervisory Responsibilities
This job has supervisory responsibilities.Incentives & Benefits
We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.
For full-time employees working 30 hours or more, some of our benefits include, but are not limited to :
100% paid Medical for employees / 99% for familyGenerous employer Health Savings Account (HSA) contributionsEmployer-paid Life Insurance (3x salary) and Long-term Disability Insurance6 weeks of paid parental leave (for both mom and dad)Dental - two plans to choose fromVisionShort-term DisabilityAccident, Critical Illness, Hospital Indemnity401(k) - up to 4% match on ROTH or Traditional contributionsGenerous paid-time off and 11 paid holidaysWellness plan including Financial, Occupational, Mental / Spiritual, and Physical health incentives up to $50 / moEmployee Assistance Program including no cost, in-person mental health visits and employee discountsMonetary Anniversary Awards ProgramMonetary Birthday Awards