Manager, RN Care Management

Job Description

Job Description

VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Manager, RN Care Management in Birmingham, AL!

VIVA HEALTH knows that nursing is not just a job, it is a calling. If you want to fulfill your healthcare calling, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and are able to take care of the people you love at home! We also offer an excellent benefits package including tuition reimbursement for employees and dependents, paid parental leave, and a paid day for community service, to name a few!

VIVA HEALTH has been the first and only Alabama-based plan to be named an overall 5-out-of-5 Star Medicare Advantage Plan. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Join our team!

The Manager, RN Care Management is responsible for the coordination, development, administration. and implementation of Care Management programs. This position provides supervision to assigned Care Management staff in providing one-on-one care management and is the primary liaison between the health plan and the providers. This individual will work with the Chief Medical Officer, Behavioral Health Medical Director, and designees to provide clinical oversight and clear directives of objectives and goals for the assigned team.

This role assesses the information and tools needed to better manage Care Management members, measures outcomes through analysis of reports, and monitors the
documentation and effectiveness of the interventions provided by the Care Managers. This position travels to locations within the relevant service area through a reliable means of transportation insured in accordance with Company policy and will have work-from-home opportunities.

REQUIRED:

• Graduate of an accredited program of professional nursing, ADN/BSN
• Three years of supervisory experience
• Current RN license in good standing with the State of Alabama Board of Nursing
• Valid driver's license in good standing
• May require significant face-to-face member contact with duties regularly performed away from the principal place of business
• Willing to submit to vaccine testing and screening
• Excellent written and verbal communication skills
• Strong organizational and time management skills
• Ability to manage and direct personnel in a positive and effective manner
• Good computer and data entry skills
• Ability to be flexible, adaptable, and able to work effectively in a variety of settings
• Strong professional level of knowledge in the adult population and chronic disease management

PREFERRED:

• Experience in Acute/or post-acute settings
• Certified Case Manager (CCM)
• Knowledge of Microsoft Word and Excel
• Knowledge of community resources, Medicare and Medicaid regulations