Role Description
The Chief of Care Management provides executive leadership and strategic direction for the care management workforce across the organization. This role champions a culture of accountability, person-centered care, and operational excellence through strategic oversight, data-driven evaluation, and continuous improvement, while maintaining a direct link to the VP’s to support alignment and prevent gaps between leadership and frontline operations and maintain compliance with OPWDD and other applicable regulations.
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Maintains professional standards while fostering a positive and supportive work environment that promotes a healthy balance, encourages growth, recognizes achievements, and prioritizes open communication to help staff thrive and excel.
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Lead and oversee the development and implementation of strategies to strengthen the care management workforce and promote person-centered care.
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Provide high level oversight to the VPs of Care Management and Care Management workforce, ensuring clarity of expectations and professional growth of the workforce.
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Foster a culture of accountability, transparency, and high performance across the care management workforce.
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Continuously monitor and leverage data and analytics to monitor care management outcomes, identify trends, inform strategic and operational decisions, and drive accountability across regions.
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Collaborate with leadership to ensure alignment and consistency of care management teams with company-wide objectives and expectations.
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Proactively identify opportunities for improvement and standardized processes within Care Management and drives problem-solving initiatives from identification through resolution.
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Support alignment and coordination between care management and other relevant departments to drive system-wide improvements.
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Serve as a strategic liaison with OPWDD and other relevant agencies to address escalated issues.
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Attend high level agency meetings, such as the Executive Oversight Committee and Strategic Initiative meetings.
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Ensure timely responses to all inquiries and requests, with a commitment to addressing and resolving issues within 24 hours to maintain efficient operations and employee/individual satisfaction.
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Take lead and ownership of assigned tasks and special projects within the teams and assist with coverage as needed.
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Ensures compliance with all OPWDD regulations as well as Tri-County Care policies.
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Participation in internal and external meetings and committees as needed.
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Performs other related duties as assigned by supervisor, to support overall organization’s goals.
Qualifications
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Visionary leadership with the ability to inspire and influence at all levels.
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Exceptional communication and organizational skills.
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Results-driven, with a strong focus on creating accountability with measurable outcomes and continuous improvement.
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Proficiency with technology and ability to utilize relevant systems and tools.
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Ability to manage sensitive and confidential information with discretion and professionalism.
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Strong understanding of OPWDD systems, quality, clinical, compliance and outcome-driven principles.
Requirements
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Master’s degree in health administration, Human Services, Social Work, Nursing, or a related field, preferred.
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Minimum of 10 years related Human Service experience, of which 5 is IDD.
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Three years of previous experience at a management level.