1,202 Health Management jobs in the United States

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.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.

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.

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A leader in child development, Penfield Children's Center creates a positive start in life for infants and children, many of whom have developmental delays or disabilities, by providing early education, health services and family programming. To carry out its mission, Penfield delivers research-based programs at the critical time of early brain development when physical, cognitive, language, social, and self-help skills are formed.

Penfield Childrens Center is named in honor of Dr. Wilder Penfield (1891-1976), a world-renowned neurosurgeon who strongly advocated early intervention for children with developmental delays and disabilities. His quote, never underestimate the capacity of the very young, and never, never let them down, has been the foundation of Penfields mission since 1967. His knowledge and wisdom underlie our philosophy of care for infants and young children even today.

Today, serving more than 1,700 children annually, Penfield offers high quality integrated services and a safe and stimulating environment for children, families and community partners to maximize early development and learning.

What we Do

• We communicate effectively, give feedback honestly and receive it with an open mind
• We use data and processes to drive decisions
• We celebrate success and learn from our mistakes
• We work to find balance in our personal and professional life
• We provide the same care and compassion to our colleagues and ourselves that we share everyday with the people we serve
  
  

• Perform necessary skilled nursing services as needed, maintaining evidence based, best practice standards with regards to WI Nursing Statutes.
• Monitor each childs need for physical examinations and immunizations per child care regulation
• Monitor weight/height gains for children with weight/growth concerns
• Perform nursing procedures and supervise all necessary health care procedures to maintain clients health status within the agency (i.e. suctioning, tube feeding, oxygen use, dressing changes and dispensing of medication).
• Maintain record of current scheduled and PRN medication authorizations for all center based children.
• Oversee recording of injury/illness incidences in Day Care Medical Log Book as required by Day Care Rules and Regulations. In conjunction with the Child Care Director annually review for patterns of injury/illness within the agency.
• Oversee vision and hearing compliance as dictated by program requirements
• Provide intensive support to families of children with chronic health conditions and special needs, including targeted goal setting, and assist families with building family advocacy skills to navigate community systems of care for their children
• Participate in Individual Care Plans for children with chronic health conditions, and follow up to ensure that childrens health conditions are effectively managed.
• Establish monitoring systems to oversee EPSDT adherence, including follow up on expired or
• coming due preventive health visits and follow up.
  
  

• Obtain health/medical history information as necessary from other agencies, hospitals and clinics during the intake process, prior to entry.
• Request and review ongoing medical information such as clinic records, physicians observations and test results, and disseminate this information to staff.
• Confers with hospitals, clinics, city health departments, physicians and all other health care providers concerning each childs health needs.
• Work in coordination with the Family Engagement team to assure that a determination of a medical and dental home and insurance is made within 30 days of a child entering the program and a determination of the childs EPSDT status is made within 90 days of a child entering a program.
• Support Family Advocates to assure that all families have quality medical and dental homes, and maintain consistent health insurance coverage, if eligible.
• Develop strategies with the Family Engagement team and parents to ensure that all children are up to date on EPSDT requirements, including receiving timely evaluation and treatment for identified concerns.
• Establish and maintain working relationships with community partners to strengthen access to resources and training identified as priority goals in the area of health and nutrition by families.
• Provides health needs consultation/support to Therapists, Teachers, Service Coordinators, Counselors etc. for children in-center or in home programming
• Assists parents in scheduling medical appointments for children as needed.
• Supports family engagement and health staff to assist families to set individualized evidence-based goals and make demonstrable changes in family life practices linked in the research to school readiness.
• Monitors the nutritional needs of children with special diets.
• Provide consultation to the agencys dietary program.
  
  

• During orientation period and annually thereafter evaluate work performance of Respite and nursing staff.
• Provide orientation, training, on-going support, mentoring and guidance to staff.
• Supervision of nursing students involved in practicums from colleges and universities.
• Design and supervise staff educational in-service and training programs.
• Prepares the medical portion of staffing and conference reports.
• Working with Human Resources recruit, interview, and select candidates for Respite and Nursing positions and address personnel issues that may arise.
• Handle staff issues and concerns in a prompt fair manner according to the agencys employee guidelines.
• Working with Human Resources, maintaining staff files to meet all state licensing requirements.
• Work with Volunteer Services Specialist in the training, placement, and supervision of volunteers.
• Monitor schedules, overtime and paid time-off requests.
• Provide a model of excellence and leadership.
  
  

• Integrate health education into the program and provide health education for parents, staff and children.
• Promote environmental health and safety practices. Instruct employees on proper health procedures such as universal precautions, appropriate hand washing techniques, diapering, etc.
• Supervise the health and safety aspects of employees during the completion of their daily duties.
• Provide staff training and reviews for nursing procedures including: medication administration, nebulizer treatments, g-tube feedings, suctioning, CPR, hand washing and diapering procedures.
• Complete TB testing on new employees.
• Ensure staff remain certified in BLS(CPR) and First Aid.
  
  

• Maintain record of current Wisconsin Day Care Immunization Records or WIR Registry Papers and Emergency Treatment Authorizations (B-3) for center-based children.
• Prepare statistical information for annual Wisconsin Day Care Immunization Assessment and for center needs.
• Develop and implement an annual screening plan for controlled screenings (eg 45 days screening).
• Establish effective health emergency procedures, including methods for handling suspected or known child abuse; conditions for short-term exclusion and admittance; medication administration procedures; injury prevention measures; and hygiene procedures.
• Conduct Health & Safety Audits as outlined by programs policy and /or state licensing requirements in, but not limited, to immunization, medication, first aid supplies, health concerns, allergies, etc.
• Compile and analyze data on the effectiveness of the health service component.
• Track the provision of all child health and developmental services and ensure that follow-up services are received in a timely manner.
• Implement a comprehensive system of services for preventing health problems, and intervening promptly when they do exist.
• Ensure all confidentiality requirements are met and those who need information can access it.
• Maintain accurate electronic and hard copy records and case notes to support positive child and family outcomes. Assure that all Health related items documents/information is accurately captured and documented in electronic and hard copy records.
• Complete data entry for health related items as required and support the Education, Family Engagement and Health team with data entry as needed.
• Record, monitor and follow up on health items for reporting requirements.
• Submit reports as needed and requested, such as monthly summary tracking reports, etc.
• Support the Family Advocates in assuring that all health related PIR data is up to date in the data system.
  
  

• Support staff in the development of cultural competence.
• Assist staff in developing effective, positive parent relationships and support staff in accessing training resources for the development of these skills.
• Provide access to resources for staff in areas of nursing, educational, and family related issues.
• In conjunction with the executive and management team help to develop agency policies and procedures.
• Develop and update policies and procedures specifically related to the special care nursery department and / or nursing cares.
• Assure that all staff treat clients with respect & dignity. Assist staff in accessing training on interpersonal skills and developing working relationships with families.
• Facilitate meetings between families and staff as needed.
  
  

• Order equipment and supplies necessary to ensure the smooth operation of the program.
• Oversee the replacement and repair of equipment as needed.
• Maintain supply and equipment inventory
• Assure that the storage area, resource room and all other supply areas are neat and orderly.
• Work with cleaning and maintenance to ensure proper cleanliness standards.
• Maintain client owned equipment and work with families to support their equipment needs.
  
  

• Represent Health Services during agency meetings for the purposes of improving staff communication and compliance with policies and procedures.
• Attend and participate in community meetings, professional organizations, committees, and groups, which enhance and promote the overall efforts of the organization in relationship to Special Care Nursing services
• Give presentations to community groups about the services offered at Penfield.
  
  

• On an annual basis, make projections and recommendations for the assigned department(s) budget for the upcoming year.
• On a monthly basis, review the assigned department(s) budget to ensure that department (s) expenses are within the parameters of the adopted budget.
• Prepare reports and make presentations discussing successes, shortfalls as noted in line item variances.
  
  

• Participate in the agency evaluation process
• Participate in committees within the agency as needed
• Participate in community workgroups on pertinent topics as requested
• Perform all other duties as assigned
  
  

• Bachelor's Degree in Nursing from an accredited college or university
• Current licensure by the State of Wisconsin as a Registered Nurse
• Three years experience of pediatric nursing
• One year of direct supervisory experience
• One year of experience in public health nursing preferred
• Management and budget experience.
• Knowledgeable in working with special needs children
• CPR/First Aid Instructor Certification (may be acquired after hire)
• Certified Pediatric Nurse(Preferred)
• Excellent organizational skills and attention to detail
• Excellent communication skills written and oral.
• Actively demonstrates a commitment to understanding and advancing diversity, equity and inclusion efforts.
• Understands, exhibits and promotes the Penfield Core Values.
• Computer literacy required: efficiency in Microsoft office. Ability to learn new programs. Proficient use of the EHR system to train and support program staff.
• High level of confidentiality and business ethics
• Ability to lift or move objects of 50 lbs. or less on a daily basis.
• Must have sufficient mobility to move- including bend, stoop, reach, lift and grasp.
• Valid Wisconsin drivers license and access to an insured vehicle during working hours
• Meeting vaccine standards as outlined in the Bloodborne Pathogens Exposure Control Plan
  
  

• Lead with Love - We welcome everyone with compassion and empathy; patience and kindness. To lead with love, we look for the best in our co-workers, our families, and ourselves.
• Grow with Us - We celebrate our successes and learn from our mistakes. We believe there is always a better way asking questions that challenge the status quo, improve our process and make our work easier. Grow with us allows us to focus on how we can improve ourselves and, in the process, better serve the children and families in our care.
• Better Together - Together, we can do amazing things. Children and families trust us and depend on us to work as a team to meet their needs. We are better together when we maximize our strengths, the gifts of our colleagues and the commitment of our amazing partners.
• Do What it Takes - We are determined, motivated and adaptable. We solve problems. We own our work, our actions and our behaviors. We step up to help our co-workers, partners and our families. We do what it takes to get the job done right and done well.
• Be Present - We bring our best genuine self to everything we do. Being present allows us to bring our passion and commitment to our work to ensure the best possible outcomes for Penfield.
  
  

• We communicate effectively, give feedback honestly and receive it with an open mind
• We use data and processes to drive decisions
• We celebrate success and learn from our mistakes
• We work to find balance in our personal and professional life
• We provide the same care and compassion to our colleagues and ourselves that we share everyday with the people we serve
  
  

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Health Care Provider
• Industries Civic and Social Organizations

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