Associate Director, Clinical Strategy and Practice
Company: Humana Inc
Location: Jacksonville
Posted on: March 20, 2023
Job Description:
Associate Director, Clinical Strategy and Practice page is
loaded Associate Director, Clinical Strategy and Practice Apply
locations Remote Florida - Jacksonville West Palm Beach, FL
Orlando, FL Tampa, FL Fort Lauderdale, FL time type Full time
posted on Posted 4 Days Ago job requisition id R-302611
DescriptionThe Associate Director, Care Management leads teams of
nurses, social workers, care coordinators, behavior health
professionals responsible for delivery care management programs.
The Associate Director, Care Management requires a solid
understanding of how organization capabilities interrelate across
department(s).ResponsibilitiesThe Primary Care Organization (PCO),
a divisional subsidiary of Humana Inc., consists of Primary Care
Clinics branded as CenterWell and Conviva. The older adult focused
primary care clinics are located in multiple states including: FL,
KS/MO, GA, SC/NA, Houston/LA, TX. The Primary Care Organization has
a strong emphasis on older adult-focused primary care for members
of Medicare Advantage health plans and is committed to providing
personalized, high-quality primary care combined with an excellent
patient experience. CenterWell and Conviva has experience in both
the treatment and management of most chronic and acute-care
conditions. The practices also provide health education and
value-added, well-being services at the centers and around their
neighborhoods to help both patients and community members improve
their health.
At CenterWell and Conviva Primary Care, we want to help those in
the communities we serve, including our associates, lead their best
lives. We support our associates in becoming happier, healthier,
and more productive in their professional and personal lives. We
promote lifelong well-being by giving our associate fresh
perspective, new insights, and exciting opportunities to grow their
careers. Our culture is focused on teamwork and providing a
positive and welcoming environment for all.The Associate Director,
Care Management is responsible for the following:
- Oversee the care management team that delivers services to
patients across multiple markets and multiple clinics. Team members
include: RN Care Coaches, Care Coordinators, BH Specialist, Social
Workers who see patients at the market / clinic level.
- Ensure the execution of the care management model of care
related activities to achieve operational efficacy, clinical
effectiveness, and overall positive outcomes.
- Must develop strong working relationships with local market
leadership to ensure deliverer of all program services are in
accordance to the model design. -
- Participate and provide feedback to the strategy to the overall
program design and be responsible for execution of changes in the
model, workflows, metrics, etc. in assigned markets.
- Manage and monitor toward key organization metrics that are
designed to focus on clinical effectiveness, outcomes and program
effectiveness
- Conduct data analysis, request data when needed, to optimize
performance based on data results
- Assist in the design, participate and maintain knowledge of all
care management & systems utilize to deliver all programs based on
market level and front line team experiences
- Launch new market entry specifically for the Care Management
programs. This requires hiring the local care management team along
with training and education with the local leadership, providers,
administrators, etc. to ensure understanding of all related
programs. Will also be responsible for hiring a new market team and
implement training to ensure a solid market launch.
- Participate and provide feedback on training program design at
the organization wide level and ensure that training and onboarding
experience is positive with the team
- Managers in local markets will report to the Associate Director
and this person is responsible for the growth and development
leaders within their organization to ensure succession planning and
serving as a mentor to both direct reports and other in the
organization Required Qualifications
- 6 or more years of professional experience
- Active Registered Nurse (RN) or LCSW or MSW
- 5+ years Case Management Experience
- Experience in the Primary Care setting
- 5+ years of previous management/supervisor level
experience
- Must live in a CenterWell or Conviva market location (FL or
TX)
- Experience with start-up environment, design and / or care
management programs re-design and execution, or other related
experience
- Demonstrate execution and management of complex care management
programs with a successful track records and results
- History to building strong relationships and strong change
management skills
- Strong process improvement skills and operational mind-set to
manage multiple team members across multiple markets settings
- Proficiency in analyzing and interpreting data trends and
create & implement actions to address areas of improvement
- Progressive business consulting and/or operational leadership
experience
- Comprehensive knowledge of all Microsoft Office applications,
including Word, Excel and PowerPoint
- Must have a separate room with a locked door that can be used
as a home office to ensure you have absolute and continuous privacy
while you work
- Must provide a high speed DSL or cable modem for a home office
(Satellite and Wireless Internet service is NOT allowed for this
role). A minimum standard speed for optimal performance of 10x1
(10mbs download x 1mbs upload) is required
- Must be passionate about contributing to an organization
focused on continuously improving consumer experiences Preferred
Qualifications
- Advanced degree in nursing or business related field
- Previous experience working in a managed care field
- 10+ or more years of previous management/supervisor level
experience
- Live in Houston, San Antonio, Dallas / Fort Worth, Tampa,
Daytona, Jacksonville, Orlando, Palm Beach, Ft. Lauderdale
(Broward), Miami
- Bi-lingual / Spanish speaking Additional Information Reporting
Relationships- You will have 1-8 direct reports across multiple
market locations. Each market will have multiple clinics and
multiple FTE's across the direct reports. For this job, associates
are required to be fully COVID vaccinated or undergo weekly COVID
testing and wear a face covering while at work. The weekly testing
will need to be done through an approved Humana vendor, and
unvaccinated associates should follow all social distancing and
masking protocols if they are required to come into a Humana
facility or work outside of their home. We are ahealthcarecompany
committed to putting health and safety first for our members,
patients, associates, and the communities we serve. If progressed
to offer, you will be required to: - Provide proof of full
vaccinationor commit to -testing protocols -OR - - Provide proof of
applicable exemption including any required supporting
documentation Medical, religious, -state -and remote-only work
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Keywords: Humana Inc, Jacksonville , Associate Director, Clinical Strategy and Practice, Executive , Jacksonville, Florida
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