at Cook County Government in Chicago, Illinois, United States
Job Description
Job Posting:Jun 6, 2024, 3:18:39 PMClosing Date:Jun 21, 2024, 4:59:00 AMFull-timeShift Start Time:8:00A.M.Shift End Time:4:00P.M.
Collective Bargaining Unit:NonePosting Salary:COMPETITIVE
Organization:Health and Hospital Systems
LOCATION: Health Plan Services - 4896
SHIFT: 8:00AM - 4:00PM
Job Title Department
Senior Manager of Complex Care Coordination, Community Care County Care - Health Plan Services
JOB SUMMARY
The Senior Manager of Complex Care Coordination, Community Care provides leadership and support of the Community Based Complex Care Coordination in collaboration with the Director of Complex Care Coordination. Oversees functions of Complex Care Coordination, including report analytics, service level agreements, member grievances, project implementation and daily operations. Represents the department during audits and meetings with Health and Family Services (HFS), Health Services Advisory Group (HSAG) and National Committee for Quality Assurance (NCQA). Develops and oversees processes, and coordinates communication amongst the Health Plan, Utilization Management, and other covered entities. Ensures staff is trained on both contractual requirements and best practices for consistent program outcomes. Collaborates with Ambulatory & Community Health Network (ACHN) administrators and providers to support interdisciplinary care team meetings and the continuum of care coordination services.
This position is exempt from Career Service under the CCH Personnel Rules
General Administrative Responsibilities
Collective Bargaining
Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
Participate in collective bargaining negotiations, caucus discussions and working meetings
Discipline
Document, recommend and effectuate discipline at all levels
Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
Supervision
Direct and effectuate CCH management policies and practices
Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Management
Contribute to the management of CCH staff and CCH' systemic development and success
Discuss and develop CCH system policy and procedure
Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Work with Labor Relations to discern past practice when necessary
Typical Duties
Leads and manages the Complex Care Coordination staff providing support to Community Based initiatives.
Ensures compliance of Health Services Advisory Group (HSAG), National Committee for Quality Assurance (NCQA) and Health and Family Services (HFS) program requirements.
Acts as a liaison and represents Complex Care Coordination during program audits with Health Services Advisory Group (HSAG), National Committee for Quality Assurance (NCQA), Health and Family Services (HFS) and other entities.
Educates and trains staff on contractual requirements and best practices.
Collaborates with ACHN leadership to coordinate interdisciplinary care team meetings.
Manages grant implementation and reporting.
Identifies opportunities and trends in operational workflows. Makes recommendations to support contract and compliance management.
Takes a comprehensive approach to evaluate and constructively improve current processes and workflows supporting expansion of the complex care coordination operations
Analyzes program outcomes and success through tracking, identifying trends and measuring key performance measures.
Takes corrective action as necessary to address disciplinary concerns; makes recommendations when necessary to diminish the impact on productivity.
Implements enhanced capabilities for accountability and integrity of daily operations
Plans, directs and oversees all aspects of assigned products and programs, establishing objectives, policies and procedures.
Participates in the evaluation of financial performance for the Complex Care Coordination department.
Facilitates operational oversight for product and program functions and identifies opportunities for improving efficiency and cost reduction.
Ensures operational processes and policies are compliant with corporate standards and
applicable local, state and federal regulations.
Oversees the research and development of any system, product and/or business... For full info follow application link.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
