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Public Health Management Senior Consultant Join to apply for the Public Health Management Senior Consultant role at Goldbelt Glacier Health Services Public Health Management Senior Consultant Join to apply for the Public Health Management Senior Consultant role at Goldbelt Glacier Health Services Overview Please note that this position is contingent upon the successful award of a contract currently under bid. Overview Please note that this position is contingent upon the successful award of a contract currently under bid. Goldbelt Glacier is accelerating healthcare delivery and providing superior force health readiness across the military, federal, and civilian landscapes. Goldbelt Glacier is committed to providing transformative and comprehensive health operational capabilities to support customers across scientific, clinical, technological, and program management areas. Summary: The Consultant will have experience performing a wide variety of complex technical activities, in support of contract transition service activities; developing operational concepts, plans, and instructions; identifying alternative courses of action and makes recommendations; and serving as an assistant to senior consulting specialists, technical directors, project managers, the program manager, and program manager alternate. Responsibilities Essential Job Functions: Manage/lead multiple work processes from initiation, transition, execution, growth and decrement, and contract close out. Develop strong relationships with clients and customers to understand their needs, to anticipate obstacles to success, and to advocate internally on their behalf. Regularly track operations and projects, manage operational and project risks and impact of changes, provide mitigation plans, and proactively manage escalation of issues to appropriate stakeholders. Review project team deliverables to ensure quality and adherence to internal, contract and government standards. Work with recruiters, PM and other program personnel for requisitions development, management and interview coordination and skills verification. Oversee staffing process, working with multiple stakeholders to ensure sufficient candidates are identified, vetted, and onboarded efficiently. Track staffing actions for contract, utilizing program-developed tools to provide accurate and timely updates. Manage relations with sub-contractors for submission and execution of labor. Assist in the management of leadership development projects related to workforce management and program staffing. Provide weekly, monthly, quarterly, and annual operational metrics for reporting to senior management and client using MS Excel and other tools. Perform tasks requiring the collection, evaluation, and data analysis on official documents, records, forms, reports, plans, policies, and regulations as needed. Develop and continuously enhance processes to improve the quality of deliverables, optimize process efficiency and maximize Site Manager throughput. Establish and maintain positive relationships with client, partners, vendors, managers, and employees enabling enhanced communication around all staffing activities. Other duties as assigned. Qualifications Necessary Skills and Knowledge: Strong analytical and problem-solving skills, with the ability to synthesize data and information into actionable recommendations. Excellent written and verbal communication skills, with the ability to present complex information clearly and persuasively. Demonstrated ability to build and maintain strong client relationships. Proficiency in project management software and tools. Ability to work independently and as part of a team, managing multiple priorities in a fast-paced environment. Minimum Qualifications: Bachelor’s degree in business management or related field (in lieu of a bachelor’s degree, minimum ten years’ experience Minimum five (5) years of experience in managing complex projects. Experienced in government policies and procedures. Possess the ability to pass a NACI background investigation. Active Secret clearance. Preferred Qualifications: Master’s Degree in a related field. PMP Certification and/or other equivalent certifications a plus. Pay And Benefits At Goldbelt, we value and reward our team's dedication and hard work. We provide a competitive base salary commensurate with your qualifications and experience. As an employee, you'll enjoy a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) plan with company matching, tax-deferred savings options, supplementary benefits, paid time off, and professional development opportunities. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Consulting, Information Technology, and Sales Industries Health and Human Services Referrals increase your chances of interviewing at Goldbelt Glacier Health Services by 2x Get notified about new Senior Management Consultant jobs in Falls Church, VA . Senior Consultant, Leave Management (Fully Remote) Bethesda, MD $150,000.00-$30,000.00 1 week ago College Park, MD 100,000.00- 120,000.00 1 month ago Senior Manager, Corporate Development & Strategic Analytics Partner Strategy & Operations Senior Manager North Bethesda, MD 112,803.00- 132,000.00 6 days ago Reston, VA 185,000.00- 220,000.00 4 months ago Senior Consultant Business Process Improvement Washington DC-Baltimore Area 180,000.00- 230,000.00 1 week ago Managing Consultant, Advisors & Consulting Services, Strategy & Transformation-R-251290 Arlington, VA 139,000.00- 222,000.00 1 week ago Senior Manager, Strategy and Budget Planning Business Analyst - Implementation Consultant Senior Manager, Sales Strategy & Operations Senior Manager, Facilities and Operations Senior Operations Manager - Supply Chain - Upper Marlboro, MD Washington, DC 90,000.00- 160,000.00 2 days ago Chevy Chase, MD 90,000.00- 165,000.00 6 days ago Washington DC-Baltimore Area 130,000.00- 150,000.00 1 day ago Arlington, VA 72,000.00- 154,000.00 2 weeks ago Arlington, VA 120,000.00- 130,000.00 1 day ago Arlington, VA 90,000.00- 105,000.00 3 months ago Senior Manager, Sponsorship Sales - Office of the Chief Commercial Officer District of Columbia, United States 80,429.00- 157,238.94 3 weeks ago Senior Business Process Reengineering (BPR) Consultant (TS/SCI required) Washington, DC 170,000.00- 190,000.00 1 week ago Senior Customer Success Manager, Consumables Arlington, VA 72,000.00- 154,000.00 1 week ago Senior Manager, Events, Sponsorships & Partnerships We’re unlocking community knowledge in a new way. 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At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryJob Profile SummaryResponsible for providing care management services and support to an assigned population with the purpose of improving health outcomes via a coordinated approach. The Care Manager II works in collaboration and continuous partnership with patients and their family members, as well as clinic, hospital, post-acute and insurance company partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager II establishes care plans and goals, and coordinates care and services throughout the continuum of care for patients assigned to the care management programs with the goal of enhancing patient health and well-being, improving adherence to health programs, and reducing health care costs. Must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the patient/member being served.Job DescriptionMinimum QualificationsEducation:Registered Nurse (RN) or Social Worker (LMSW)Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of TexasExperience / Knowledge / Skills:Experience in care/case management, chronic disease management or population health preferredAt least two (2) years of experience in care coordination and planning or other related areaExperience working in interdisciplinary teamsExcellent computer skillsEffective oral and written communication skillsPrincipal AccountabilitiesProvides primary care management interventions to identified members enrolled in the Health Management programs.In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.Promotes adherence to an established plan of care.Increases utilization of primary care services within an established network.Reduces emergency room utilization and hospital readmissions via a comprehensive approach.Increases patients’ ability for self-management and shared decision-making.Increases comprehension and health literacy through appropriate education.Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.Provides chronic disease and self-management education and support.Connects patients to relevant community resources necessary to support health and well-being.Coordinates warm hand-off to member’s primary care provider upon successful completion of the program.Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.Makes referrals to other Health Management team members as necessary to promote effective care coordination services.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryJob Profile SummaryResponsible for providing care management services and support to an assigned population with the purpose of improving health outcomes via a coordinated approach. The Care Manager II works in collaboration and continuous partnership with patients and their family members, as well as clinic, hospital, post-acute and insurance company partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager II establishes care plans and goals, and coordinates care and services throughout the continuum of care for patients assigned to the care management programs with the goal of enhancing patient health and well-being, improving adherence to health programs, and reducing health care costs. Must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the patient/member being served.Job DescriptionMinimum QualificationsEducation:Registered Nurse (RN) or Social Worker (LMSW)Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of TexasExperience / Knowledge / Skills:Experience in care/case management, chronic disease management or population health preferredAt least two (2) years of experience in care coordination and planning or other related areaExperience working in interdisciplinary teamsExcellent computer skillsEffective oral and written communication skillsPrincipal AccountabilitiesProvides primary care management interventions to identified members enrolled in the Health Management programs.In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.Promotes adherence to an established plan of care.Increases utilization of primary care services within an established network.Reduces emergency room utilization and hospital readmissions via a comprehensive approach.Increases patients’ ability for self-management and shared decision-making.Increases comprehension and health literacy through appropriate education.Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.Provides chronic disease and self-management education and support.Connects patients to relevant community resources necessary to support health and well-being.Coordinates warm hand-off to member’s primary care provider upon successful completion of the program.Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.Makes referrals to other Health Management team members as necessary to promote effective care coordination services.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.

At Memorial Hermann, we pursue a common goal of delivering high-quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Minimum Qualifications

Education: Registered Nurse (RN) or Social Worker (LMSW)

Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of Texas

Experience / Knowledge / Skills:

• Experience in care/case management, chronic disease management or population health preferred
• At least two (2) years of experience in care coordination and planning or other related area
• Experience working in interdisciplinary teams
• Excellent computer skills
• Effective oral and written communication skills

Principal Accountabilities

• Provides primary care management interventions to identified members enrolled in the Health Management programs.
• In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.
• Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.
• Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.
• Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.
• Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.
• Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.
• Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.
• Promotes adherence to an established plan of care.
• Increases utilization of primary care services within an established network.
• Reduces emergency room utilization and hospital readmissions via a comprehensive approach.
• Increases patients' ability for self-management and shared decision-making.
• Increases comprehension and health literacy through appropriate education.
• Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.
• Provides chronic disease and self-management education and support.
• Connects patients to relevant community resources necessary to support health and well-being.
• Coordinates warm hand-off to member's primary care provider upon successful completion of the program.
• Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.
• Makes referrals to other Health Management team members as necessary to promote effective care coordination services.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryJob Profile SummaryResponsible for providing care management services and support to an assigned population with the purpose of improving health outcomes via a coordinated approach. The Care Manager II works in collaboration and continuous partnership with patients and their family members, as well as clinic, hospital, post-acute and insurance company partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager II establishes care plans and goals, and coordinates care and services throughout the continuum of care for patients assigned to the care management programs with the goal of enhancing patient health and well-being, improving adherence to health programs, and reducing health care costs. Must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the patient/member being served.Job DescriptionMinimum QualificationsEducation:Registered Nurse (RN) or Social Worker (LMSW)Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of TexasExperience / Knowledge / Skills:Experience in care/case management, chronic disease management or population health preferredAt least two (2) years of experience in care coordination and planning or other related areaExperience working in interdisciplinary teamsExcellent computer skillsEffective oral and written communication skillsPrincipal AccountabilitiesProvides primary care management interventions to identified members enrolled in the Health Management programs.In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.Promotes adherence to an established plan of care.Increases utilization of primary care services within an established network.Reduces emergency room utilization and hospital readmissions via a comprehensive approach.Increases patients’ ability for self-management and shared decision-making.Increases comprehension and health literacy through appropriate education.Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.Provides chronic disease and self-management education and support.Connects patients to relevant community resources necessary to support health and well-being.Coordinates warm hand-off to member’s primary care provider upon successful completion of the program.Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.Makes referrals to other Health Management team members as necessary to promote effective care coordination services.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryJob Profile SummaryResponsible for providing care management services and support to an assigned population with the purpose of improving health outcomes via a coordinated approach. The Care Manager II works in collaboration and continuous partnership with patients and their family members, as well as clinic, hospital, post-acute and insurance company partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager II establishes care plans and goals, and coordinates care and services throughout the continuum of care for patients assigned to the care management programs with the goal of enhancing patient health and well-being, improving adherence to health programs, and reducing health care costs. Must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the patient/member being served.Job DescriptionMinimum QualificationsEducation:Registered Nurse (RN) or Social Worker (LMSW)Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of TexasExperience / Knowledge / Skills:Experience in care/case management, chronic disease management or population health preferredAt least two (2) years of experience in care coordination and planning or other related areaExperience working in interdisciplinary teamsExcellent computer skillsEffective oral and written communication skillsPrincipal AccountabilitiesProvides primary care management interventions to identified members enrolled in the Health Management programs.In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.Promotes adherence to an established plan of care.Increases utilization of primary care services within an established network.Reduces emergency room utilization and hospital readmissions via a comprehensive approach.Increases patients’ ability for self-management and shared decision-making.Increases comprehension and health literacy through appropriate education.Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.Provides chronic disease and self-management education and support.Connects patients to relevant community resources necessary to support health and well-being.Coordinates warm hand-off to member’s primary care provider upon successful completion of the program.Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.Makes referrals to other Health Management team members as necessary to promote effective care coordination services.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryJob Profile SummaryResponsible for providing care management services and support to an assigned population with the purpose of improving health outcomes via a coordinated approach. The Care Manager II works in collaboration and continuous partnership with patients and their family members, as well as clinic, hospital, post-acute and insurance company partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager II establishes care plans and goals, and coordinates care and services throughout the continuum of care for patients assigned to the care management programs with the goal of enhancing patient health and well-being, improving adherence to health programs, and reducing health care costs. Must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the patient/member being served.Job DescriptionMinimum QualificationsEducation:Registered Nurse (RN) or Social Worker (LMSW)Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of TexasExperience / Knowledge / Skills:Experience in care/case management, chronic disease management or population health preferredAt least two (2) years of experience in care coordination and planning or other related areaExperience working in interdisciplinary teamsExcellent computer skillsEffective oral and written communication skillsPrincipal AccountabilitiesProvides primary care management interventions to identified members enrolled in the Health Management programs.In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.Promotes adherence to an established plan of care.Increases utilization of primary care services within an established network.Reduces emergency room utilization and hospital readmissions via a comprehensive approach.Increases patients’ ability for self-management and shared decision-making.Increases comprehension and health literacy through appropriate education.Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.Provides chronic disease and self-management education and support.Connects patients to relevant community resources necessary to support health and well-being.Coordinates warm hand-off to member’s primary care provider upon successful completion of the program.Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.Makes referrals to other Health Management team members as necessary to promote effective care coordination services.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryJob Profile SummaryResponsible for providing care management services and support to an assigned population with the purpose of improving health outcomes via a coordinated approach. The Care Manager II works in collaboration and continuous partnership with patients and their family members, as well as clinic, hospital, post-acute and insurance company partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Care Manager II establishes care plans and goals, and coordinates care and services throughout the continuum of care for patients assigned to the care management programs with the goal of enhancing patient health and well-being, improving adherence to health programs, and reducing health care costs. Must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the patient/member being served.Job DescriptionMinimum QualificationsEducation:Registered Nurse (RN) or Social Worker (LMSW)Licenses/Certifications: Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with active license in the state of TexasExperience / Knowledge / Skills:Experience in care/case management, chronic disease management or population health preferredAt least two (2) years of experience in care coordination and planning or other related areaExperience working in interdisciplinary teamsExcellent computer skillsEffective oral and written communication skillsPrincipal AccountabilitiesProvides primary care management interventions to identified members enrolled in the Health Management programs.In conjunction with payers and health care teams across the continuum, identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination.Coordinates in conjunction with providers and health plans, a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals.Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters.Works cohesively with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care.Increases continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources.Manages effective transitions in care by facilitating warm hand-offs and closure of gaps in care.Promotes timely access to appropriate care and promote effective and efficient utilization of clinical resources.Promotes adherence to an established plan of care.Increases utilization of primary care services within an established network.Reduces emergency room utilization and hospital readmissions via a comprehensive approach.Increases patients’ ability for self-management and shared decision-making.Increases comprehension and health literacy through appropriate education.Provides medication management, including comprehensive medication review and make recommendations to primary care provider for medication changes based on evidence-based protocols.Provides chronic disease and self-management education and support.Connects patients to relevant community resources necessary to support health and well-being.Coordinates warm hand-off to member’s primary care provider upon successful completion of the program.Directs and participates in the development and implementation of member care policies and protocols in order to provide advice and guidance in handling special cases or member needs.Makes referrals to other Health Management team members as necessary to promote effective care coordination services.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.Other duties as assigned.