Job Title

The range for this role is $80,000 to $109,000Actual base pay will be determined based on a successful candidate''s work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 10% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.Interested candidates must be willing and able to work onsite full-time in either our Melbourne, FL or Orlando, FL office.The MissionAt Christian Care Ministry we believe that Christians can, and should, share in one anothers burdens. Through the use of Medi-Share, a healthcare sharing ministry for Christians, we cultivate that belief.The TeamEveryone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we arent perfect people, we are serving our perfect God to the best of our ability.The JobThe Clinical Manager, Care Management oversees and develops clinical staff to ensure individual and team performance and quality of work aligns to organizational objectives and the strategic direction of the department. This role will collaborate with department and multi-disciplinary clinical teams to facilitate positive outcomes for our Medi-Share members. The role will support implementation of clinical strategies to achieve and maintain optimal wellness, and will identify and support resolution of operational and technical challenges in the department.Provides leadership and guidance to the team in the area of Workforce ManagementEnsures staff are educated on their individual and team roles and responsibilities to carry out the ministrys goals and objectivesDaily evaluates and assigns the inflowing work to the team membersManages within our Human Resource Information System (ADP) time-off requests from team membersReports to their immediate direct reporting manager, any and all impediments to a team members'' ability to workReports to their immediate direct reporting manager, regular performance feedback of each team memberProvides leadership and guidance to the team in the area of Quality ManagementEnsures new-hire training and education on the Medi-Share Program Guidelines relative to health care, nursing, rehabilitative, and spiritual services to support the education of membersIdentifies opportunities for process-improvement within the teamPerforms audits to ensure that work follows proper process and documentation to meet quality and service-level agreementsEnsures each team member remains up-to-date regarding knowledge and skills required for their positionEnsures each team member is cross-trained to work within the Care Management DepartmentProvides leadership and guidance to the team in the area of Performance ManagementPerforms regular 1:1 meetings with each team member to give and receive regular performance feedbackDevelops and ensures accountability of performance goals, for their immediate direct reports and teamsDevelops performance metrics, for their immediate direct reports and teamsAssesses performance goals and metrics against established benchmarks to assure direct reports and teams achieve business expectationsIdentifies staff and team members whose performance falls below expected goals and when appropriate, develops a plan of action in cooperation with the staff member to remediatePerforms professional and performance coachingDevelops and executes corrective actionProvides oversight of the teams higher complexity casesDevelops and maintains the workflows, policies, and procedures that govern and guide staff activitiesCollaborates with interdepartmental and interdisciplinary teams to achieve improved member outcomesManages conflicts and escalations, high profile cases, and ensures proper notification of high dollar casesAssists senior leadership in the screening and hiring process for team membersEnsures professional communication and collaboration within the teamIdentifies for design and ensures execution of key team processes that foster interdepartmental and interdisciplinary collaboration for improved member outcomesProvides input to senior leadership to maintain vendor relationships, process improvement, and system integrationContributes to the exercise and expression of Christian Care Ministrys Christian beliefsAll other duties as assignedClinical operations skill proven ability to provide clinical operations support and direction to improve health outcomes for patients or members in areas of care, case, utilization, review, or general clinical management functionsEffective communication skill able to motivate others to action and convey complex messages with simplicity in written and verbal formLeadership proven ability to lead collaborative and high-performing teams effectivelyExpert knowledge of HIPPA, PHI, and PII rules and regulationsAbility to work independently to meet deadlines and deliver high quality recommendations and work productsAbility to navigate, lead, and implement change with direct reports, teams, peers and leaders within the organizationAbility to serve as a player/coach leading and coaching others effectively while performing duties of the team ensuring high levels of service to members is accomplishedTraining skill ability to teach and develop new skills and ability in othersComputer skill ability to effectively navigate multiple software applications to document notes, track case load, extract reports, and interpret dataCore Competencies/Demonstrable BehaviorsEnsure Accountability hold self and others accountable to meet commitmentsCollaborates builds partnerships and works collaboratively with others to meet shared objectivesCommunicates Effectively develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiencesDirects Work provides direction, delegates, and removes obstacles to get work doneCourage steps up to address difficult issues, says what needs to be said with respect and authorityEducation and/or ExperienceBachelors degree in a healthcare or nursing-related field, OR equivalent experience requiredRegistered Nurse with current unrestricted multi-state compact license required5 years experience in clinical operations (case management, care management, utilization management, clinical health coaching) required; preferably in a healthcare payer organizationPrior experience in a leadership role managing or coaching clinical teams requiredPrefer health care payer, operations, and change management expertiseSupervisory ResponsibilitiesThis job has supervisory responsibilities.We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.Apply for this jobFirst Name *Last Name *Email *Phone *Location (City) *Resume/CV *How did you hear about this position? * Select...Statement of Faith * Select...You must be able to subscribe to ALL of the statements below without reservation:I believe that there is only one God (Deuteronomy 6:4) eternally existing in three Persons: the Father, Jesus Christ the Son, and the Holy Spirit (Matthew 28:19).I believe the Bible is Gods written revelation to mankind, divinely given through human authors who were inspired with the Holy Spirit (2 Timothy 3:16-17).I believe in the deity of Jesus Christ who existed as God before anything was created (John 1:1), His virgin birth (Matthew 1:23), sinless life (Hebrews 4:15), miracles, death on the cross to provide for our redemption (1 Peter 2:24), bodily resurrection and ascension into heaven (1 Corinthians 15:3-8), present ministry of intercession for us (Hebrews 7:24-25), and His return to earth in power and glory (Matthew 24:30).I believe in the personality and deity of the Holy Spirit (Acts 5:3-4), that He performs the miracle of new birth in an unbeliever and indwells believers (1 Corinthians 3:16).I believe man was created in the image of God, but because of sin was alienated from God. Alienation can be removed by accepting God''s gift of salvation by grace through faith (Ephesians 2:8-10) which was made possible by Christ''s death and resurrection. This faith will be evidenced by the works that we do (James 2:17, 26).Conduct and Character * Select...It is our goal to reflect an authentic Christian community and to bring glory to the name of Jesus Christ through all the efforts and actions of the ministry and its employees. Therefore, we expect all employees to model Christian behavior toward others at all times and perform their responsibilities as a service to God, and endeavor to comply with biblical standards of conduct. #J-18808-Ljbffr