Manager, Network Care Coordination

CharterCARE of Rhode Island; Providence (RI); On-site; USD 80,000 - 110,000; Full time

Job summary

CharterCARE of Rhode Island in Providence, RI seeks a Manager of Network Care Coordination to oversee care coordination across the CharterCARE Provider Group of RI (CPGRI) and related networks, ensuring seamless access to health services and effective communication among caregivers.

The role focuses on implementing processes, managing staff, developing policies, and monitoring KPIs such as referral turnaround time and referrals per hour, with an emphasis on patient and provider satisfaction and

Qualifications

• Bachelor's degree preferred.
• At least one year of relevant work/intern experience in a medical/physician’s offices, managed care, or health system operations.
• Knowledge of basic software applications to include electronic health records and customer relations management.
• Knowledge working with Athena and experience with Meditech
• Knowledge of managed care principles and risk contracting
• Skill in dealing with interpersonal issues, physicians and customer relations
• Skill in process development and improvement
• Ability to lead multiple staff/disciplines
• Ability to handle multiple priorities at once with minimal supervision
• Ability to organize, present and communicate clearly
• Ability to maintain confidentiality of patient and employee information

Responsibilities

• The Network Care Coordination Manager controls the coordination of care within the CharterCARE Provider Group of RI (CPGRI) and CCHP networks/systems by implementing processes to ensure seamless access to health services and communication amongst caregivers.
• The incumbent will support the Coordinated Regional Care (CRC) model and its goals relating to patient access, quality and patient and provider satisfaction, all in a cost effective manner, in order to provide value for the communities served.
• The incumbent will manage staff, develop policies and procedures, create and monitor KPIs, and ensuring a collaborative approach with providers, practice managers and support staff, as well as independent practices within the IPA.
• KPIs include referrals turnaround time (consult to care) and referrals processed by FTE per hour.

Skills

EHR

CRM

Athena

Meditech

Managed care

Risk contracting

Interpersonal skills

Process improvement

Staff leadership

Prioritization

Communication

Confidentiality

Education

Bachelor's degree preferred

Job description

Manager, Network Care Coordination

CharterCARE of Rhode Island Providence, Rhode Island, United States

About this position

Summary: The Network Care Coordination Manger controls the coordination of care within the CharterCARE Provider Group of RI (CPGRI) and CCHP networks/systems by implementing processes to ensure seamless access to health services and communication amongst caregivers. The incumbent will support the Coordinated Regional Care (CRC) model and its goals relating to patient access, quality and patient and provider satisfaction, all in a cost effective manner, in order to provide value for the communities served. The incumbent will manage staff, develop policies and procedures, create and monitor key performance indicators (KPIs), and ensuring a collaborative approach with providers, practice managers and support staff, as well as independent practices within the IPA. KPIs include:

• Referral turnaround time (consult to care)
• Referrals processed by FTE per hour

The position serves as a conduit for critical processes enabling true integration between outpatient services, network operations, acute and post-acute services.

Education: Bachelor/undergraduate preferred.

Experience: At least one year of relevant work/intern experience in a medical/physician’s offices, managed care, or health system operations.

Skills and Abilities:

• Knowledge of basic software applications to include electronic health records and customer relations management.
• Knowledge working with Athena and experience with Meditech
• Knowledge of managed care principles and risk contracting
• Skill in dealing with interpersonal issues, physicians and customer relations
• Skill in process development and improvement
• Ability to lead multiple staff/disciplines
• Ability to handle multiple priorities at once with minimal supervision
• Ability to organize, present and communicate clearly
• Ability to maintain confidentiality of patient and employee information

Working Conditions, Physical Environment and/or Safety Requirements : General pleasant working environment with little or no distractions or exposure to unpleasant or hazardous elements. Meets all safety training requirements associated with the health system. Duties are a combination of extensive mental and manual skills. Manual skills are required such as finger, eye and hand dexterity for such activities as utilization of a computer.