Director-Integrated Health Engagement (Full Time, Hybrid, North Carolina Based)

United States·Morrisvilleexecutive

OtherEngagement

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Quick Summary

Requirements Summary

Master’s degree in nursing and five (5) years of progressive leadership experience in healthcare setting. Knowledge of Medicaid and managed care systems is required.

Technical Tools

OtherEngagement

The Director of Integrated Health Engagement leads multi-disciplinary social needs and clinical (behavioral and physical health) teams to support the delivery of integrated whole-person care for Alliance members. This role is responsible for implementing clinical and operational strategies that leverage evidence-based practices, optimize efficiencies, and drive growth to achieve Care Management and organizational goals for various populations. This role requires strong physical health, clinical, analytical, problem-solving, and leadership skills in addition to demonstration and knowledge of operational management principles.

This is a full-time hybrid opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office for business meetings as needed.

Responsibilities

~2 min read

Operational Oversight

→Oversee operational and administrative operations for clinical care management teams
→Supervise and support interdisciplinary teams including registered nurses, behavioral health clinicians, occupational therapists, speech therapist, etc.
→Develop, implement and monitor operational strategies aligned with the Care Management overall business objectives
→Monitor care management department KPIs, team productivity and financial metrics per department standards
→Develop performance goals and long-term operational plans in collaboration with other care management leaders
→Ensure compliance with NC DHHS and government contracts and regulations

Clinical Oversight

→Support development and oversee the integrated care model within the care management department
→Ensure evidence-based clinical standards of care are incorporated into clinical team workflows in the care management platform
→Collaborate with internal and external stakeholders to support coordinated physical, behavioral, and SDOH supports to deliver comprehensive care to members

Project Management

→Support project management activities on assigned projects, including budgeting, development and implementation of workplans and management of project workflows
→Lead change management initiatives to ensure that changes in business processes are accepted and effectively implemented
→Overseeing multiple projects simultaneously

Communication and Collaboration

→Maintains awareness of existing and new internal and external regulations and guidance pertaining to Care Management operations
→Presents various findings related to the department’s performance to a wide variety of stakeholders

Requirements

~1 min read

Education & Experience

Required:

Master’s degree in nursing and five (5) years of progressive leadership experience in healthcare setting. Knowledge of Medicaid and managed care systems is required.

Registered Nurse license required.

Preferred:

Experience working with underserved and diverse populations preferred.

Analyze complex data sets and deriving actionable insights
Clinical experience for complex behavioral and physical health members
High aptitude for owning projects from ideation throughout execution
Organizational and interpersonal skills with professional demeanor
Efficiently work in a fast paced, integrated health care environment
Verbal and written communication skills
Work collaboratively with others and move projects forward
Leadership and managerial skills with ability to inspire and motivate individual contributors
Microsoft Office Suite
Highly self-directed, reliable and accountable
Results oriented with a focus on accountability and overcoming obstacles