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 exemptions are -available Scheduled Weekly Hours40 Similar Jobs (4) Home Visit Team - Advanced Practice Provider - Port St. Lucie, FL locations West Palm Beach, FL time type Full time posted on Posted 30+ Days Ago Associate Director, Nurse Practitioner-Conviva-Daytona FL locations Daytona Beach, FL time type Full time posted on Posted 30+ Days Ago

Keywords: Humana Inc, Jacksonville , Associate Director, Clinical Strategy and Practice, Executive , Jacksonville, Florida