Divisional Manager, Care Integration Team (RN)
DescriptionOur OrganizationHumana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 270 centers serving over 250,000 patients.
As a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do.
Our Clinics offer a team-based care model supporting patients' physical, emotional, and social wellbeing.
At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives.
We support our associates in becoming happier, healthier, and more productive in their professional and personal lives.
We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers.
Our culture is focused on teamwork and providing a positive and welcoming environment for all.
ResponsibilitiesThe RoleThe Care Integration Team Divisional Manager is responsible for managing a team of licensed social workers, nurses, and community health workers all collaborating to deliver a whole person health approach to patient care.
The Divisional Manager is responsible for providing clinical guidance, supervision, and overarching direction to associates on the team, as well as ensuring key performance metrics are being driven toward and communicating those results with leadership.
The Manager will utilize advanced clinical acumen, experience, and knowledge to lead this multidisciplinary team.
As a guideline, this role involves spending 70% of the time on operational excellence and program delivery, 30% on relationships.
Major Duties and Responsibilities Oversees day-to-day operations, recruiting/hiring, team management, and overall performance for Divisional pool.
Enacts quality review process to ensure proper clinical care is being provided and documented accordingly.
Ensures clinical program integrity and addresses performance and program improvement opportunities, escalating to Divisional Director as appropriate.
Provide clinical education and training to team as needed.
Support team in case consultation and clinical escalations as needed.
Engages with leadership at the market and national level to report out on team metrics and progress and receive feedback.
Accountability to key population health metrics, including quality, utilization, and financial measures.
Required Qualifications Registered Nurse (RN) License At least 5 years post undergraduate experience in clinical nursing work or clinical social work Prior experience working with patients with behavioral health conditions.
At least 2 years of team management experience Preferred Qualifications Prior experience working with older adults.
Clinical competence in working with patients with Serious Mental Illness and in crisis intervention.
Familiarity with and knowledge of chronic conditions, disease management, and navigation of medical systems of care Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations and assistanceCharacteristics of the qualified candidate:
Advanced clinical acumen including assessment, diagnostic, therapeutic and crisis intervention skills as well as expert knowledge of behavioral health resources.
Excellent communication skills, including follow-through communication and the ability to interpret and translate data to tell a story via executive level presentations.
Relationship and team building skills.
A passionate advocate for improving clinician and patient experience through population health management.
Capable of setting SMART goals, aligned with organization, and holding staff accountable for achieving goals.
Relationship management and negotiation skills to ensure key organizational and community partners feel engaged, heard, and respected.
Pro-active, positive attitude, and comfortable being a change agent.
Ability to lead and facilitate meetings with MDs, Operations Leaders and across a matrixed organization.
Benefits o Health benefits effective day 1 o Paid time off, holidays, volunteer time and jury duty pay o Recognition pay o 401(k) retirement savings plan with employer match o Tuition assistance o Scholarships for eligible dependents Scheduled Weekly Hours40 Recommended Skills Behavioral Medicine Business Relationship Management Certified Nurse Practitioner Clinical Nursing Clinical Social Work Clinical Works Estimated Salary: $20 to $28 per hour based on qualifications.
As a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do.
Our Clinics offer a team-based care model supporting patients' physical, emotional, and social wellbeing.
At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives.
We support our associates in becoming happier, healthier, and more productive in their professional and personal lives.
We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers.
Our culture is focused on teamwork and providing a positive and welcoming environment for all.
ResponsibilitiesThe RoleThe Care Integration Team Divisional Manager is responsible for managing a team of licensed social workers, nurses, and community health workers all collaborating to deliver a whole person health approach to patient care.
The Divisional Manager is responsible for providing clinical guidance, supervision, and overarching direction to associates on the team, as well as ensuring key performance metrics are being driven toward and communicating those results with leadership.
The Manager will utilize advanced clinical acumen, experience, and knowledge to lead this multidisciplinary team.
As a guideline, this role involves spending 70% of the time on operational excellence and program delivery, 30% on relationships.
Major Duties and Responsibilities Oversees day-to-day operations, recruiting/hiring, team management, and overall performance for Divisional pool.
Enacts quality review process to ensure proper clinical care is being provided and documented accordingly.
Ensures clinical program integrity and addresses performance and program improvement opportunities, escalating to Divisional Director as appropriate.
Provide clinical education and training to team as needed.
Support team in case consultation and clinical escalations as needed.
Engages with leadership at the market and national level to report out on team metrics and progress and receive feedback.
Accountability to key population health metrics, including quality, utilization, and financial measures.
Required Qualifications Registered Nurse (RN) License At least 5 years post undergraduate experience in clinical nursing work or clinical social work Prior experience working with patients with behavioral health conditions.
At least 2 years of team management experience Preferred Qualifications Prior experience working with older adults.
Clinical competence in working with patients with Serious Mental Illness and in crisis intervention.
Familiarity with and knowledge of chronic conditions, disease management, and navigation of medical systems of care Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations and assistanceCharacteristics of the qualified candidate:
Advanced clinical acumen including assessment, diagnostic, therapeutic and crisis intervention skills as well as expert knowledge of behavioral health resources.
Excellent communication skills, including follow-through communication and the ability to interpret and translate data to tell a story via executive level presentations.
Relationship and team building skills.
A passionate advocate for improving clinician and patient experience through population health management.
Capable of setting SMART goals, aligned with organization, and holding staff accountable for achieving goals.
Relationship management and negotiation skills to ensure key organizational and community partners feel engaged, heard, and respected.
Pro-active, positive attitude, and comfortable being a change agent.
Ability to lead and facilitate meetings with MDs, Operations Leaders and across a matrixed organization.
Benefits o Health benefits effective day 1 o Paid time off, holidays, volunteer time and jury duty pay o Recognition pay o 401(k) retirement savings plan with employer match o Tuition assistance o Scholarships for eligible dependents Scheduled Weekly Hours40 Recommended Skills Behavioral Medicine Business Relationship Management Certified Nurse Practitioner Clinical Nursing Clinical Social Work Clinical Works Estimated Salary: $20 to $28 per hour based on qualifications.
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