Supervisor Care Management Population Health Job at CHRISTUS Health (Irving)

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Registered Nurse Navigator Home Health Review - Population Health

The RN Navigator Home Health Review plays a crucial role in monitoring post-acut...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Nursing preferred
3 years of clinical experience required
2 years of Home Health experience preferred
3 years of managed care and/or care management experience preferred
RN license in the state of employment or compact is required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance
Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements
Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans
Ensures post-acute agencies address the problem list and provide appropriate follow-up for patient needs
Based on CMS or other payer guidelines, patient assessments, and case conferences, makes recommendations to PCPs regarding Home Health recertification or discharge from service
Utilizes MCG Guidelines for post-acute services and Home Care to optimize the type, frequency, and duration of care provided to patients
Creates positive relationships with post-acute agencies, Primary Care Clinicians, and Office Staff to foster collaboration and effective care delivery
Ensures smooth transitions of care along the continuum, facilitating communication between Home Health agencies and PCP practices as necessary to address patient needs
Demonstrates expertise in navigating electronic medical records and other care management applications

Fulltime

Registered Nurse Navigator Population Health

The RN Navigator in Population Health is responsible for coordinating and managi...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Nursing preferred
3 years of clinical experience required
2 years of case management experience required
Experience working in a primary care value-based care organization is required
Knowledge of population health management principles is required
RN license in the state of employment or compact is required
One of the following certifications is required within 2 years of hire: Certified Case Manager (CCM) by CCMC or Nursing Case Management Certification (CMGT-BC) by ANCC
Must have strong clinical assessment skills
Must have excellent communication and interpersonal skills
Must be able to work independently and as part of a team

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Care Coordination of Complex/Chronic conditions: Manages and coordinates care for patients with chronic conditions, complex medical needs, and assists with Discharge Planning: Helps plan and coordinate the discharge process for members leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting
Care Coordination - Transitions of Care: Outreach to patients that qualify for Transitions of Care (IP Discharge) and ensure they understand their medications, educate patients on managing their conditions and knowing when to seek help, stressing the importance of scheduling and attending follow up appointments, and teaching them to recognize the signs that their condition might be worsening
Patient Assessment: Conduct comprehensive assessments to identify patient needs, barriers to care, and social determinants of health
Care Planning: Develop and implement individualized care plans based on patient assessments, clinical guidelines, and patient preferences. Focuses on reducing preventable admissions, readmissions, and preventable ED visits by supporting discharge planning to the next level of care and educating patients about the appropriate setting for care
Advocacy: Serve as an advocate for patients or clients, helping them to navigate the healthcare system, understand their treatment options, and access the services they require
Collaboration: Work closely with healthcare providers, social workers, and community resources to ensure a holistic approach to patient care
Monitoring and Evaluation: Track and communicate to PCPs and specialty care providers any significant changes to members' concerns, along with any updates on members’ status
Documentation: Maintain accurate and timely documentation of patient interactions, care plans, and outcomes in the electronic health record (EHR) system
Quality Improvement: Participate in quality improvement initiatives to enhance patient care and population health outcomes

Fulltime

Quality Improvement Coordinator Senior

Coordinates, facilitates, implements and participates in care management and qua...

Location

United States , Aurora

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Quality Management or related field
Typically requires 5 years of experience in health care or clinical quality improvement
Knowledge of quality improvement principles, project management, and team facilitation
Knowledge of federal, state and external health care regulations and standards and ability to research those regulations
Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes
Knowledge and use of process improvement methods, statistical tools and evidence based, best practice resources
Demonstrates strong problem solving, leadership, conflict mgmt. and team building skills
Knowledge of medical terminology, clinical concepts and disease management
Ability to analyze complex data and communicate sensitive information
Excellent interpersonal, written and verbal communications skills

Job Responsibility

Coordinates, facilitates, implements and participates in care management and quality improvement initiatives/teams across Aurora Health Care in assigned geographical areas
Develops process improvement plans with leadership and departments throughout the organization to analyze, monitor and ensure high levels of quality and performance
Identifies opportunities for improvement, makes recommendations for change, and leads the implementation of best practices to meet established goals
Promotes cross-departmental communication, collaboration, and performance improvement as a means of achieving cost-effective, high quality care
Coordinates, facilitates and implements best practice strategies for assigned patient populations to meet quality and cost goals
Designs and documents assigned projects to demonstrate the quality levels delivered to patients, while applying Aurora's approach to quality. Uses statistical techniques to analyze and display clinical data using measurement tools and systems, as appropriate
Interprets and communicates care management and quality results in a way that the customer understands. Meets individually with providers and staff to assist with problem-solving, recommend and facilitate improvement strategies. Measures and evaluates attainment of goals. Manages multidisciplinary quality improvement teams and projects to support the accomplishment of care management and accreditation (as appropriate) goals
Completes medical record reviews, compares current practice against best practice guidelines and provides recommendations to improve patient care
Provides leadership and consultative services at least quarterly to departments and services within the organization in achieving regulatory, accreditation, and organizational compliance in quality, safety and in performance management and improvement activities. Serves as a resource on external regulatory requirements relative to care management activities
Maintains awareness of and notifies leadership of actual or potential risk situations. Gathers information and provides input regarding risk management issues as delegated by immediate supervisor. Reviews, trends and reports results at least quarterly of quality and care management related third party visits, chart reviews, surveys, and other data to appropriate committees, departments and administration

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Supervisor, Social Worker

The Senior Social Worker will facilitate the ongoing development and implementat...

Location

United States of America , Rochester

Salary:

69326.00 - 90124.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

2 years of professional social work practice
MSW degree from an accredited school of social work
Licensed MSW in New York State
Significant clinical experience with a pediatric population in a medical, behavioral health, or child welfare setting

Job Responsibility

Facilitate the ongoing development and implementation of a Children’s Health Home Care Management program
Provide leadership to a team of Children’s Health Home Team Leads and Care Managers
Assure comprehensive care management services are provided in accordance with established requirements and protocols
Responsible for recruitment, training, supervision and evaluation of team leads and oversight of care managers
Facilitate integration of program services with pediatric and behavioral health practices
Develop collaborative relationships with community-based programs and services
Perform quality assurance activities, program evaluation, and reporting

Fulltime

Case Management Coordinator- Field - Salt River Trail-Kentucky

This is a telework position with 80-90% travel in the Salt River Trail Region of...

Location

United States , Frankfort

Salary:

21.10 - 36.78 USD / Hour

CVS Health

Expiration Date

May 25, 2026

Requirements

2 years’ experience in behavioral health, social services, or human services field
1+ year(s) of experience with Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to the Kentucky SKY populations
1 year experience with MS Office Suite applications, including Word and Excel
Must have reliable transportation and be willing and able to travel 80-90% of the time to meet members face to face in Salt River Trail Service region
Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm
Minimum of a bachelor's degree or a non-licensed master level clinician is required with either degree being in behavioral health, or a relevant human services field of study
Qualified candidates must reside in one of the following counties: Breckinridge, Grayson, Meade, Hardin, Larue, Bullitt, Nelson, Marion, Washington, Spencer, Anderson, Woodford, Shelby, Franklin, Henry, Oldham, and Trimble
Must have valid KY driver's license, proof of vehicle insurance, and reliable transportation

Job Responsibility

Evaluation of Members: conducts comprehensive assessment of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs
Coordinates and implements assigned care plan activities and monitors/updates care plan to reflect progress
Collaborates with partners from the state and behavioral health systems
Enhancement of Medical Appropriateness and Quality of Care: consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers
Identifies and escalates quality of care issues
Utilizes negotiation skills to secure appropriate options and services
Utilizes influencing/ motivational interviewing skills
Provides coaching, information and support
Helps member actively and knowledgably participate with their provider
Monitoring, Evaluation and Documentation of Care: utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

What we offer

Mileage will be reimbursed per company policy
medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources

Fulltime

Lead Caregiver/Memory Care Activity Coordinator

This position is responsible for program development and implementation within t...

Location

United States , Burlington

Salary:

19.00 - 21.00 USD / Hour

Dewolfe Place

Expiration Date

Until further notice

Requirements

One (1) year dementia care experience
One (1) year in a leadership role
Previous caregiver experience

Job Responsibility

Designs, schedules and facilitates Memory Care program incorporating Life Skills and a variety of dementia appropriate activities
Partners with the RDRC to ensure a variety of appropriate activities are available throughout the day and evening and that Care Managers are actively involved and engaged with activities
Partners with the RDRC in compiling, coordinating and executing a comprehensive and varied program of activities to meet the broad spectrum of interests and capabilities of Memory Care residents
Provide ongoing in-service education to the Memory Care staff that is relative to the disease processes and population being served
Prior to move-in, reviews the resident’s preferences and needs educating Care Managers of same
Facilitates the Service Plan and Daily Assignment Sheet development to ensure excellence in service delivery, safety, hydration and resident engagement in programming
Acts as the community champion in Memory Care programming and activities
Partners with dining services to ensure meeting individualized resident needs and preferences
participates in dining experience
Understands resident changes in condition and reports to the nurse

What we offer

Medical
Dental
Vision
Life and disability insurances
Paid time off
Paid holidays
401(k) plan with company match
Employee Assistance Program
Accident insurance policies

Fulltime

Lead Caregiver/Memory Care Coordinator

This position is responsible for program development and implementation within t...

Location

United States , Burlington

Salary:

19.00 - 21.00 USD / Hour

Dewolfe Place

Expiration Date

Until further notice

Requirements

One (1) year dementia care experience
One (1) year in a leadership role
Previous caregiver experience

Job Responsibility

Designs, schedules and facilitates Memory Care program incorporating Life Skills and a variety of dementia appropriate activities
Partners with the RDRC to ensure a variety of appropriate activities are available throughout the day and evening and that Care Managers are actively involved and engaged with activities
Partners with the RDRC in compiling, coordinating and executing a comprehensive and varied program of activities to meet the broad spectrum of interests and capabilities of Memory Care residents
Provide ongoing in-service education to the Memory Care staff that is relative to the disease processes and population being served
Prior to move-in, reviews the resident’s preferences and needs educating Care Managers of same
Facilitates the Service Plan and Daily Assignment Sheet development to ensure excellence in service delivery, safety, hydration and resident engagement in programming
Acts as the community champion in Memory Care programming and activities
Partners with dining services to ensure meeting individualized resident needs and preferences
participates in dining experience
Understands resident changes in condition and reports to the nurse

What we offer

Medical
Dental
Vision
Life insurance
Disability insurance
Paid time off
Paid holidays
401(k) plan with company match
Employee Assistance Program
Accident insurance

Fulltime

Mobile Integrated Health Coordinator

Under the supervision of the MIH Operations Manager, implement and oversee South...

Location

United States , Weymouth

Salary:

27.31 - 38.24 USD / Hour

South Shore Health

Expiration Date

July 31, 2026

Requirements

Associate's degree or higher plus three years’ experience in EMS/MIH
Equivalent combination of education and experience considered
Three years’ experience in MIH/EMS preferred
BLS, EMT, Paramedic certifications/licenses preferred
Moderate word processing, database, presentation and spreadsheet skills required
Basic email and internet skills required
Ability to learn specific job related software applications
Must maintain a high degree of academic and practical knowledge in EMS
Must attend sufficient continuing education classes, courses and seminars both on and off duty to maintain annual EMS certification, as required by the State of Massachusetts
Ability to effectively speak and present information before groups

Job Responsibility

Implement and oversee South Shore Hospital/ Health System (SSHS) policies and procedures to enhance employee performance and ensure the effective delivery of MIH services
Perform other duties related to the provision of care and development of the community MIH system
Responsible for day-to-day operations and demand of the Mobile Integrated Healthcare through collaborative efforts with all internal and external stakeholders on current MIH programs
Supports existing health services
Provides integrated health services in partnership with other health professionals
Extends access to health services delivery in underserved and general populations, including primary care, public health, disease management, prevention and wellness, and mental health
Coordinates daily operations schedule of patients, paramedics and APC’s
Coordinate staffing requirements and make adjustments in collaboration with field operations and management team
Communicate expectations, delegate work to appropriate team members and monitor performance of MIH team members
Meet daily, weekly and monthly with Management Team and MIH Team to discuss program and process updates and issues in order to seek resolutions

Parttime

Supervisor Care Management Population Health

CHRISTUS Health

Location:
United States , Irving

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 16, 2026

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