- Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)
- Develop new provider/partner business relationships that serve as means to better Healthmap provider and member engagement and manage assigned caseload
- Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
- Incorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance
- Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
- Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in program
- Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
- Serve as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the member's support network, treating physician, and ancillary providers to assist members in meeting individualized goals
- Accountable for individual and departmental metrics and key performance indicators as identified by the organization
- Ensure timely and successful delivery of reports to internal and external stakeholders
- Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards
- Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulations
- Perform other related duties as assigned
- Bachelor's degree required
- Active, unrestricted RN license required
- Basic Life Support (BLS) certification required
- Advanced Cardiovascular Life Support (ACLS) certification (based on role)
- 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
- 3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferred
- Prior experience building and managing relationships with health care providers or patients preferred
- Proof of valid and unrestricted driver's license required; this position requires regular travel within assigned region to support practices
- Must reside in one of the assigned states
- Current Tuberculosis (TB) test or current chest X-ray
- Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
- Participation in annual health and wellness screenings
- Excellent verbal, written and presentation skills
- Interpersonal skills to develop and maintain strong internal and external relationships
- Ability to multitask, prioritize, and create solutions in a fast-paced environment
- Demonstrated leadership skills and ability to create and maintain a positive work environment
- Strong critical thinking and analytical skills
- Ability to foster strong employee engagement among the team
- Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
- Bilingual preferred - Spanish, Creole, and/or Mandarin
-
We are seeking Care Managers to help individuals with intellectual and/or developmental disabilities achieve their long-term goals by developing person-centered Life Plans. · Care Managers may work in a hybrid environment including visits with members at home and office meetings. ...
Albany1 month ago
-
Job Description: · The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing patient-centered care plans with sh ...
Albany $75,000 - $115,000 (USD) per year1 day ago
-
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · ...
Albany $18.50 - $38.82 (USD)1 month ago
-
LMHT (Remote) at Headway summary: · A Licensed Mental Health Therapist (LMHT) provides professional mental health services, primarily through private practice, helping clients access care via insurance. This role involves managing a practice with features like scheduling, documen ...
Albany6 hours ago
-
LPNP (Virtual) at Headway summary: · Licensed Psychiatric Nurse PractitionerDid you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?Whether you want to see patients alongside a full-time job or grow a full-time practice, Headw ...
Albany1 day ago
-
We are searching for a Practice Manager to join our team. · ...
Albany $78,499 - $84,864 (USD) Full time1 month ago
-
· Position Title: Care Manager RN · Location: New York on site in Albany (Must permanently reside in New York State) · Position Type: Full-Time · Reports To: Care Management Supervisor · Position Summary: The Care Manager is responsible for coordinating and managing care ser ...
Albany, New York, United States $65,000 - $105,000 (USD) per year1 week ago
-
JFS Social Work Care Manager · Job Type: Full-time, 37.5 hours / week · Pay: $22.56-$24.61/hr. (commensurate with experience) · Preferred credentials: MSW or LMSW · Location: Greater Capital Region (Albany, NY and surrounding areas) · Mode of Service: In-person services · Jewish ...
Albany, NY $52,000 - $90,000 (USD) per year1 week ago
-
We are searching for a Practice Manager, Primary Care & Medical Specialty to join our team. · ...
Albany, NY1 month ago
-
Join Our Mission · The Children Health Home Care Manager is responsible for core services of health home care management including comprehensive care management, care coordination and health promotion, comprehensive transitional care, youth and family support and referral service ...
Albany $55,000 - $105,000 (USD) per year1 week ago
-
Employment Type: · Full timeShift: · Day ShiftDescription: · St. Peter's Nursing and Rehab Center is looking for a Clinical RN Manager for our Long-term care Unit · Schedule: · Full-Time Day shift · Why St. Peter's Nursing & Rehabilitation Center (Albany)? · Feel like being part ...
Albany $48 - $63.38 (USD) Full time6 days ago
-
We are looking for a Clinical RN Manager for our Long-term care Unit. As a team member at St Peter's Nursing and Rehabilitation Center in Albany, NY you will gain clinical experience and advance your nursing practice. · Responsible and accountable to utilizing the nursing process ...
Albany $48 - $63.38 (USD)3 weeks ago
-
If you are looking for a RN Manager position in skilled nursing this could be your opportunity. · Admission assessment consistent with guidelines and interview resident/significant others to complete health history · ...
Albany, NY1 month ago
-
Care Managers provide outreach and enrollment services to children presumed to meet eligibility requirements of New York State's Children's Health Home program. The Care Manager will gather assessments and enter documentation that confirms eligibility and identifies areas requiri ...
Troy, New York, , United States $65,000 - $120,000 (USD) per year1 week ago
-
Care Managers provide outreach and enrollment services to children presumed to meet eligibility requirements of New York State's Children's Health Home program. The Care Manager will gather assessments and enter documentation that confirms eligibility and identifies areas requiri ...
Troy, New York, , United States $65,000 - $120,000 (USD) per year1 week ago
-
The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, · and Healthmap members that are engaged in Healthmap's Kidney Management Program through coordinating performance improvement activities · and ...
Albany $105,000 - $143,000 (USD)1 month ago
-
Guardian Angel Senior Services is continuing it's growth. With 16 established offices throughout Massachusetts and New Hampshire, we are preparing to expand into Albany, New York. · We are seeking an experienced leader to spearhead our entry into this new market and establish a s ...
Albany2 weeks ago
-
· Position at Healthmap Solutions · Company Background · Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high ...
Albany $105,000 - $143,000 (USD)1 day ago
-
As a Care Design New York Care Manager you will help people with intellectual and/or development disabilities identify and realize their long-term and short-term goals by developing implementing and monitoring their person-centered Life Plans. · ...
City of Troy $23.75 - $26.07 (USD) Full time1 month ago
-
· Guardian Angel Senior Services is continuing it's growth. With 16 established offices throughout Massachusetts and New Hampshire, we are preparing to expand into Albany, New York. · We are seeking an experienced leader to spearhead our entry into this new market and establish ...
Albany, NY1 week ago
-
Guardian Angel Senior Services is continuing it's growth. With 16 established offices throughout Massachusetts and New Hampshire, we are preparing to expand into Albany, New York. · We are seeking an experienced leader to spearhead our entry into this new market and establish a s ...
Albany, NY2 weeks ago
RN - Clinical Care Manager (Albany, NY) - HealthMap Solutions LLC
3 hours ago
Description
Clinical Care Manager
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmap's Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.
Responsibilities include:
Requirements include:
Must comply with organization policies for health screening and immunizations, including but not limited to:
Skills include:
Heavy Travel, greater than 50%, across your assigned region.
Compensation range: $105,000 - $143,000 (dependent on specific market/region as well as experience of the candidate selected).
Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.
Americans with Disability Specifications: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
-
Care Manager
Only for registered members Albany
-
RN Care Manager
Intermountain Health- Albany
-
Care Management Associate
Only for registered members Albany
-
Care Management Support
Headway- Albany
-
Care Management Support
Headway- Albany
-
Practice Manager Primary Care
Full time Only for registered members Albany
-
Bilingual RN Care Manager
Only for registered members Albany, New York, United States
-
Care Manager/Social Worker
Only for registered members Albany, NY
-
Practice Manager Primary Care
Only for registered members Albany, NY
-
Health Home Care Manager (4143)
Only for registered members Albany
-
Nurse Manager Long Term Care
Full time Only for registered members Albany
-
Nurse Manager Long Term Care
Only for registered members Albany
-
Nurse Manager Long Term Care
Only for registered members Albany, NY
-
Care Manager
Only for registered members Troy, New York, , United States
-
Care Manager
Only for registered members Troy, New York, , United States
-
RN - Clinical Care Manager (New York)
Only for registered members Albany
-
Home Care Regional Manager. Albany NY
Only for registered members Albany
-
RN - Clinical Care Manager (Hudson Valley)
Only for registered members Albany
-
Care Manager
Full time Only for registered members City of Troy
-
Home Care Regional Manager. Albany NY
Only for registered members Albany, NY
-
Home Care Regional Manager. Albany NY
Only for registered members Albany, NY