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The Manager, Care Management determines care management strategy and leads the care management team in pursuit of market goals. They ensure compliance with program requirements by liaising with contract and program-specific teams and Aledade. They coach and support partner practices in understanding and succeeding within these programs, provide thought leadership on care management program roles and metrics, manage care team members, and develop and deploy training programs. Additionally, they design and operationalize vendor contracts, coordinate interdisciplinary care management interventions, and stay updated on industry intervention evidence and adjust Aledade services accordingly.
Lead transformative care management initiatives as our Manager, Care Management who will directly improve patient outcomes across their given market. Their leadership will span from developing evidence-based training programs and managing vendor partnerships to providing thought leadership on care management metrics and coordinating life-changing interventions for complex patients. This role offers the unique opportunity to stay at the forefront of healthcare innovation, continuously adapting Aledade's services based on the latest intervention evidence while directly impacting both practice success and patient lives.
Please note: Candidates will need a Registered Dietician, Nurse, LMSW or LCSM Licensure in the state of Michigan to be considered.
Primary Duties:
- Manage from end-to-end a Care Management program that incorporates Aledade perspective on effective care management interventions. Leverage internal and external experts and literature. Utilize internal staffing as well as vendor contracts to execute programs and be accountable for the quality and impact of the Aledade Care Management program as well as the tools used to coordinate internally. Additionally, design, negotiate, and operationalize contractual arrangements with vendors that are hired to support the goals of the supported programs, pulling in diversity of thought and perspective from others when needed.
- Stay up to date with program and regulatory requirements applicable to the Care Management program and implement changes to ensure ongoing program and regulatory compliance.
- Directly manage, coach and lead a team of interdisciplinary care managers (and community health workers where relevant), ensuring patients receive the appropriate care at the appropriate time to help prevent unnecessary medical spend and promote high quality of care. Develop metrics for direct reports to measure their success & the success of the overall program. Determine and deploy appropriate staffing assignments considering team skillsets and practice partner attributes and preferences as well as the strategic goals of the market. Ensure team members including junior team members are performing “top of license” scope of work.
- Provide physician and administrative contacts in partner practices with regular updates, performance metrics, and ongoing guidance related to the services they are receiving from the Aledade team, incorporating asks and preferences of the physicians and administrators into the team’s approach to the work.
Minimum Qualifications:
- Registered Dietician, Nurse, LMSW or LCSM Licensure in the state of Michigan
- Bachelor’s degree or equivalent.
- Minimum 5 years experience in a care manager, case manager, or related role with at least 3 years in a people manager role.
- At least 2 years experience providing care to complex high risk older and/or adults with disabilities.
- Comprehensive knowledge of Social Determinants of Health (SDOH) including screening techniques and appropriate resources and interventions.
- Technical mastery of electronic health record charting, population health tools, and health information exchanges. Experience designing and utilizing interdisciplinary team communications and protocols.
- Experience managing projects and vendor relationships.
Preferred KSA's:
- Care management credential(s) or certification(s) preferred
Physical Requirements:
- Ability to travel to visit practices, HQ, or other team or company events as needed up to 4 times per month.
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.
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