Director, Care Management

Author Health; United States; Remote; USD 165,000 - 175,000; Full time

Job summary

Author Health, une entreprise engagée dans la transformation des soins de santé mentale, recherche un Directeur des Services de Gestion des Soins. Ce rôle stratégique inclut la définition de la vision à long terme, la consolidation des partenariats externes et la supervision de l’équipe de gestion des soins pour optimiser les résultats des patients. Les candidats doivent avoir une expérience significative en gestion des soins, et être passionnés par l'innovation dans le domaine de la santé mentale.

Benefits

Retirement savings plan (401k)

Low cost benefits package

Paid vacation

Paid sick leave

Performance-based bonuses

Qualifications

• RN, spécialisé en médecine familiale, médecine interne ou psychiatrie.
• 5+ ans d'expérience en gestion de cas/soins.
• Expérience avec des patients ayant des conditions de santé chroniques complexes.

Responsibilities

• Développer et exécuter la stratégie de gestion des soins.
• Collaborer avec des partenaires externes pour améliorer la continuité des soins.
• Recruter, former et superviser une équipe de gestionnaires de soins.

Skills

Leadership

Communication

Data-Driven Decision Making

Education

RN License

Job description

At Author Health, we’re revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults.

We don’t just treat symptoms. We treat people — fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around comprehensive outpatient mental health care for older adults inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives.

At Author, inclusivity isn’t a checkbox. It’s how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient’s experience, and we’re creating a workplace where team members can show up as their full selves, too.

If you’re driven by purpose, ready to shake up the status quo, and eager to make a real impact in people’s lives, we’d love to meet you. Let’s build the future of mental health care together!

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We are looking for a Director of Care Management services who will develop, execute, and own Author Health’s overall care management strategy while leading the team delivering its services to our patients. The Director of Care Management is a strategic leader responsible for setting and executing the long-term vision for care management across the organization. This role defines the strategic direction for delivering coordinated, efficient, and patient-centered care that supports clinical excellence and operational effectiveness. To be successful, this Director will need to translate their strategic vision for care management into efficient and effective operations. This will require a deep understanding of care management services and their reimbursement in different types of contracts and payment models, as well as an ability to help execute programmatic implementations and changes. Through data-driven insights and deep understanding of Medicare programs, this role will help design and implement key population health initiatives to improve key clinical quality measures and reduce total cost of care for our members.

With a focus on building high-performing teams and scalable programs, the Director drives innovation in care coordination, utilization management, and population health. The Director of Care Management partners with teams across Author Health, including Finance, Operations, Product, People and Executive Leadership, to align care management strategies with enterprise-wide goals. The role also requires active engagement with external stakeholders—including community partners, provider networks, and healthcare collaborators—to extend the organization’s impact and ensure continuity of care across settings.

WHAT IS YOUR SUPERPOWER?

• Serve as a visionary leader of Care Management who effectively owns, balances, and achieves strategic innovation, care delivery transformation, and financial and operational efficiency gains
• Develop and execute the long-term strategy for care management services, incorporating data-driven insights, and organizational priorities to optimize patient outcomes and operational performance.
• Drive transformation in care delivery by integrating clinical, behavioral, and social determinants of health to advance holistic, patient-centered care.
• Build and sustain external partnerships, including payer organizations, community based organizations, health care providers, and government entities to enhance care continuity and address gaps in services.
• Collaborate with internal leaders, such as those in executive leadership, product, compliance, finance, clinic team, and operations to ensure care management strategies support system-wide performance goals and compliance with policies and procedures.
• Drive and optimize care management strategies to achieve goals on clinical quality measures (e.g., HEDIS, Star Ratings) and total cost of care for Medicare beneficiaries across multiple payer and government contracts (e.g., Medicare Advantage, CMS Guiding An Improved Dementia Experience - GUIDE Model)
• Partner with stakeholders to deeply understand utilization data and cost data to identify and design targeted interventions for impacting key population health outcomes
• Develop, implement, and supervise company-wide interventions to address common issues identified in the patient population, including housing insecurity, coordination of health insurance benefits, food insecurity, medication adherence, and other similar needs.
• Develop, implement and supervise programs to ensure comprehensive coordination of providers and community based organizations to support patients and caregivers.
• Manage and ensure adherence to a centralized program for responding to admission and discharge alerts and ensuring successful transition from hospital to outpatient care.
• Regularly review data for staff and patients to ensure accurate identification of health and social needs; ensure consistent applications of programs to address these needs, and measure impact.
• Ensure high functioning daily team meetings across the care management and clinical staff to proactively identify and address patient needs. Ensure that all tasks identified during these meetings are completed in a timely and comprehensive manner.
• Develop, implement and supervise care management programs to identify and address the needs of caregivers. Ensure that caregivers are successfully engaged in patient care.
• Recruit, hire, train and supervise a team of Care Managers and Community Health Workers delivering community-based care management services. Care management services include identifying and addressing social drivers of health, conducting medication reconciliation, identifying system and personal barriers to achieving health goals, and ensuring that the patient can participate in telehealth services.
• Ensure the comprehensive and timely completion of patient and caregiver care plans. Care plans should include personal, health and social goals.
• Other tasks as identified by the company

WHAT WE ARE SEEKING:

• RN, preferably with specialization/experience in family medicine, internal medicine and/or psychiatry
• 5+ years experience as a Case/Care Manager with appropriate licenses and certifications
• 5+ years experience leading a team
• 3+ years experience with patients with complex chronic health conditions and social drivers of health
• 3+ years experience in inpatient care settings
• Experience leading teams of Community Health Workers preferred
• Excellent data and analytics skills; capable of using data to ensure adherence to company workflows and protocols and measure impact of programs
• Outstanding communication skills, both written and verbal
• Structured approach to management,
• Able to think and problem solve independently
• Excellent organizational, decision-making and time management skills
• Substantial attention to detail

WHAT WE OFFER:

• Retirement savings plan (401k) Plan up to 3.5% company match
• Low cost benefits package for employee and dependents ( medical/ dental/ vision/ STD/ Life Insurance)
• Paid vacation
• Paid sick leave
• 9 paid holidays throughout the year with (2) additional flex holidays .. 11 in total!
• Performance-based bonuses
• and more!

NEXT STEPS:

• Submit an application
• Upload an updated resume
• Share LinkedIn profile and/or cover letter

Author Health Professionals, PC is committed to a diverse and inclusive workplace. It is the company’s policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual’s race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. The company’s policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. If you need assistance or a reasonable accommodation during the application process because of a disability, it is available upon request. The company is pleased to provide such assistance and no applicant will be penalized as a result of such a request. In accordance with applicable legal requirements such as the San Francisco Fair Chance Ordinance Author Health will consider for employment qualified applicants with arrest and conviction records.

Salary range for this opening

Pay Ranges

$165,000 - $175,000 USD

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