Care Coordination Manager

Fort Myers, FL
Full Time
Mid Level
PRINCIPAL ACCOUNTABILITIES OF POSITION
Provide leadership specific to In Home service delivery, driving results, increasing efficiencies and executing CRN care standards.

ROLE OF THE CARE COORDINATION MANAGER
The Care Coordination Manager is responsible for oversight and direction of the recruiting and fulfillment operations of CRN In home services.  The duties include but are not limited to financial outcomes, strategic functions, goals and efficiencies. They continually seek out process improvement by documenting, developing and evaluating business processes. Ensuring that the responsibilities and accountability of all direct reports are defined and understood. 

They communicate a compelling vision, inspire others, stimulate
enthusiasm and lead by example. Develop strategies to align with CRN mission, vision and values. The CCM continually seeks business opportunities through stakeholder relationships, and community involvement

ESSENTIAL FUNCTIONS
  1.  Operational Activities
  • Establishes business unit and individual goals.
  • Communicates, sets, and drives team activities to meet KPI and measurable goals
  • Facilitates referral to enrollment of new individuals
  • Ensure current census levels are maintained including proper authorizations, service delivery compliance and system utilization
  • Directs recruiting program to ensure proper level of Direct Support Professionals to support Individuals needs
  • Reviews CCC caseloads for optimal customer service
  • Reviews all referrals, and assigns to appropriate CCC
  • Ensures stakeholder communication standards are being met
  • Develops/updates and implements policies and procedures as needed due to changes internally, increased efficiency or new/modified rules & regulations in the industry.
  • Continually seek out process improvement. Develops and installs procedures and controls to promote communication and adequate information flow within the organization.
  • Coordinate training for Independent Contractors, as required.
  • Acts as liaison between Individuals served, WSC and CRN.
  • Fosters continuity of care by managing relationships with all parties involved in Individuals’ support team
  • Trouble shoots stakeholder concerns, assists in resolution with appropriate parties
  • Support and communicate changes in requirements to the CCC team for I/C implementation.
  1. Administration & Compliance
  • Ensures operations compliance in accordance with federal and state laws relating to the services CRN provides.
  • Reviews Qlarent and other auditing entities to ensure CRN compliance.
  • Monitors Florida Medicaid, AHCA, and APD for handbook or updated mandates that require implementation
  • Assists the billing department with contract or other related issues.
  • Collaborate with other CRN departments to ensure best practices and efficiencies.
  1.  Public Relations
  •  Maintains CRN’s image and identity, which includes the use of logos and signage and communication.
  • Plans and manage Public Relations and Marketing activity and events.
  • Assists with presentations for potential new business.
  • Attends networking events to further CRN community exposure.
  • Handle escalated Individual served and/or Direct Support Providers matters.
SUPERVISORY RESPONSIBILITY
▪     Supervises Community Care Coordinators and other staff in the business unit. Provides overall direction, coordination, and evaluation of the staff members.

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS 
  • This is a hybrid role, with most work performed remotely. However, the position requires the flexibility to come into the office as needed for meetings, training, or operational support. Primary job functions take place in a well-lit, climate-controlled office setting.
  • Occasional trips into the community require outdoor travel and potential exposure to unpleasant weather and hazardous road conditions. 
  • Ability to sit for extended periods of time and possess the normal range of motion.
  • Ability to bend, stand, walk, or sit for extended periods of time and possess the normal range of body motion.
  • Must occasionally lift or move up to 25 pounds occasionally.
  • While performing the duties of this job, the employee will be occasionally required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl; talk or hear; taste or smell.
  • Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus.
  • Noise levels vary in the work environment.
QUALIFICATIONS
  • Bachelor’s degree in business, marketing or related field.  An equivalent combination of education and applicable experience may be considered.
  • Minimum 3 years’ experience in a managerial role, preferably within a healthcare system.
  • Minimum 2 years in a recruiting, hiring role, management preferred.
  • Minimum 2 years’ experience in Sales, Public Relations or Marketing.
  • Bilingual, Spanish and English speaking and writing skills preferred
  • Valid state driver’s license.
  • Must pass Level II Background screening.

KNOWLEDGE AND SKILLS
  • Must have an understanding of general business, office terminology and intermediate computer skills.
  • Must have thorough understanding of the MS Office Suite products/programs. 
  • “Company Knowledge” Understand and articulate the services provided and the customer value for the CRN brand. 
  • Possess the ability to lead and manage others by exhibiting strong business acumen.
  • Demonstrates the ability to analyze, document and improve productivity in all internal systems and processes.
  • Must have strong interpersonal and communication skills (both verbal and written).
  • Must be able to compose routine correspondence and reports.
  • Ability to plan, organize and prioritize work.
  • Work effectively as a team contributor on all assignments.
  • Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
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