CM Project Administrator - Specialty Program

Connecticut, Inc.; Wallingford (CT); On-site; USD 93,225 - 124,300; Full time

Job summary

Community Health Network of Connecticut, Inc. (CHNCT) in Wallingford, CT, is seeking a CM Project Administrator – Specialty Program to join our team. The role focuses on designing, implementing, and evaluating care management projects and specialty programs.

The position requires 5+ years in care management, nursing as a major, and strong data analytics. CCM/URAC certification is preferred; RN license and CT driver’s license are required. On-site role with travel as needed.

Qualifications

• Four to six years post-secondary education.
• Nursing major.
• 5+ years care management program experience required.
• Data analytics and system expertise; strong verbal and written communication; organizational skills.
• CCM or URAC certification preferred; RN license required; valid CT driver’s license and reliable transportation.

Responsibilities

• Collaborates on design, implementation, and evaluation of care and disease management projects.
• Acts as primary contact and resource for specified projects; manages contracts and stakeholder communication.
• Prepares and presents reports on project performance for internal and external meetings.
• Develops project plans and manages timelines using existing tools.
• Coordinates with CHNCT departments and ASOs to ensure access to care/services.
• Supports URAC audit activities and accreditation processes.

Skills

Data Analytics

System Expertise

Verbal communication

Written communication

Organizational skills

Independent thinking

Education

Post-secondary education 4-6 years

Nursing major

Job description

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CM Project Administrator - Specialty Program

Regular Full Time High Wallingford, CT, US

Salary Range: $93,225.00 To $124,300.00 Annually

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking a CM Project Administrator – Specialty Program to join our team.

Primary Responsibilities:

• The Care Management Project Administrator collaborates in the design, implementation and evaluation of care and disease management projects and specialty programs.
• Serves as primary point of contact and resource for specified projects, collaborates with stakeholders, assists with troubleshooting issues, prepares deliverables for submission, and oversees project-related contract details.
• Prepares, submits, and presents reports on project performance at internal and external meetings, as needed.

Tasks Performed:

• Supports the development and management of projects and initiatives by creating project plans using existing tools to ensure that project requirements, deadlines and schedules are submitted timely.
• Collaborates with stakeholders to:
  • 1) Identify and develop necessary workflows and processes
  • 2) Develop and implement documentation and associated reporting systems
  • 3) Manage project oversight
• Develops, reviews, and revises resources/toolkits/playbooks for designated projects.
• Tracks and reports on project milestones and outcomes.
• Supports leadership and teams to conduct analyses and refine processes and programs.
• Researches published scientific literature, evidence‑based guidelines, and other sources of credible information pertinent to clinical program management, makes recommendations to leadership for program modifications, and supports implementation.
• Presents for adoption clinical content/evidence‑based guidelines.
• Collaborates with others to create, implement, and evaluate quality improvement activities.
• Serves as a resource for provider practices on designated projects to troubleshoot issues and address system related barriers.
• Leverages expertise in care management to support navigation of HUSKY Health benefits, care coordination requirements, and preparation for healthcare encounters.
• May engage with eligible members identified for CHNCT care management services, including conducting an assessment and developing a care plan, when relevant to the specific project.
• Coordinates with other CHNCT departments and ASOs to ensure access to care/services.
• Participates in collaborative meetings that align with the goals of the project/program.
• Advises and participates in the development of audit criteria and conducts audits, as needed.
• Supports fulfillment of URAC requirements and participates in re‑accreditation survey process.
• Performs other duties as assigned.

Essential Functions:

• Development and execution of project plans for implementation of special programs.
• Participation in workgroups and meetings as they relate to projects and programs.
• Coordination with stakeholders to ensure that deliverables occur on schedule. Travel to designated provider/community sites on a scheduled frequency and as needed.
• Preparation and presentation of project‑related reports.
• Maintain knowledge of covered CT Medicaid/HUSKY Health programs.

Desired Education: Four to six years post‑secondary education

Desired Major: Nursing

Desired Job Experience: 5+ years Care Management program experience required.

Other Qualifications: Data Analytics and System Expertise. Excellent verbal, written and organizational skills required. Independent forward thinker. CCM or other URAC approved certification preferred. Must hold a valid and unrestricted motor vehicle operator’s license and have reliable transportation. CT Registered Nurse (RN) license must be current and unrestricted.

Certifications Required: Active Registered Nurse License, State Motor Vehicle License