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Cook County Health and Hospitals

MANAGER OF COMPLEX CARE COORDINATION - HEALTH PLAN SERVICES

Cook County Health and Hospitals, Chicago, Illinois, United States, 60290


Job Posting: Nov 15, 2024, 4:20:40 PM Closing Date: Nov 29, 2024, 11:59:00 PM Full-time Shift Start Time: 8:30 A.M. Shift End Time: 4:30 P.M. Collective Bargaining Unit: None Posting Salary: $113,220 - $128,112 Organization: Health and Hospital Systems

The final salary and offer components are subject to additional approvals based on Cook County Health (CCH) policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at CCH. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.Job TitleManager of Complex Care CoordinationDepartmentHealth Plan ServicesJob SummaryThe Manager of Complex Care Coordination is responsible for managing and leading a multidisciplinary care team composed of care coordinators and community health workers to provide effective, efficient care coordination. Leads the day to day activities of the care coordinators, including scheduling, case assignment, mentoring and problem solving. Collaborates with the Director of Complex Care Coordination to identify improvement opportunities, create efficient processes and leverage resources appropriately, while supporting Cook County Health (CCH) and CountyCare Health Plan. Works with enrollees, providers and administrative staff to identify ways to improve integration with the medical home teams for those who have complex medical/social or behavioral needs as well as for the maternal child health population or enrollees with acute needs or chronic disease.General Administrative ResponsibilitiesCollective BargainingReview applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposalsParticipate in collective bargaining negotiations, caucus discussions and working meetings

DisciplineDocument, recommend and effectuate discipline at all levelsWork closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining AgreementsInitiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

SupervisionDirect and effectuate CCH management policies and practicesAccess and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

ManagementContribute to the management of CCH staff and CCH systemic development and successDiscuss and develop CCH system policy and procedureConsistently 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 AgreementsWork with Labor Relations to discern past practice when necessary

Typical DutiesManages caseloads and oversees case assignment for member s by risk category and population, as well as, residing in long term care, supportive living facility receiving home and community-based waiver services in accordance with departmental policy and procedure. Monitors workloads to assure a distribution that is accordance with contractual requirements.Develops processes to facilitate and support education and onboarding.Ensures work is completed in a timely manner and addresses issues with work completion.Collaborates with the care team to continuously improve the process of assessment, care planning, service planning, interdisciplinary care, care coordination, and evaluation.Regularly conducts care team meetings as needed to address concerns or needs.Develops and implements process to successfully on-board staff members and support tenured staff members during times of transition such as changes in policy and procedures or workflow modifications.Uses care management system generated data to develop an approach to monitor staff performance and provide timely, relevant feedback to staff.Adheres to contractual obligations to reporting key events and requests for response according to contractual requirement or accreditation standards.Initiates efforts to improve team performance regarding key performance indicators, develops approaches to assure team achieves targets.Facilitates staff staying up to date with changes in regulations, accreditation requirements and best practices in care coordination.Analyzes data supporting trends in patient care and improves process as needed.Works collaboratively with departments throughout CCH to support achievement of organizational/departmental goals.Supports of the Care Coordination participants and care teams in workflow (re)design.Supports resource utilization in a manner that is consistent with budget and resource targets.Supports care coordination quality improvement efforts.Supports readiness activities for National Committee for Quality Assurance (NCQA) accreditation.Travels to the home of Enrollees or their sites of care to conduct supervision visits as required by departmental policy.Performs all other duties as assigned.

Minimum QualificationsBachelor's degree or higher from an accredited college or university

is required (Official transcripts must be provided at time of interview)Must be Licensed in the State of Illinois as a Registered Professional Nurse, Licensed Clinical Social Worker, Licensed Social Worker, Licensed Clinical Professional Counselor, OR Licensed Professional Counselor

is requiredThree (3) years of care coordination work experience in health services or social services

is requiredTwo (2) years of experience working for a culturally diverse population

is requiredOne (1) year of supervisory work experience with a multi-disciplinary team

is requiredPrior case management software work experience

is requiredPosition requires moderate travel for which the employee must have a valid driver's license in good standing and access to an insured vehicle

is required

Preferred QualificationsMaster's degree in Healthcare or Business Administration from an accredited college or university

is preferred (Official transcript must be provided at the time of interview)

VETERAN PREFERENCEPLEASE READWhen applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.To take advantage of this preference a Veteran

must:Meet the minimum qualifications for the position.Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"Attach a copy of their

DD 214, DD 215 or NGB 22

(Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from ei

ther the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11).

Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

ORA copy of a

valid State ID Card or Driver's License

which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.If items are not attached, you will not be eligible for Veteran PreferenceVETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEWBENEFITS PACKAGEMedical, Dental, and Vision CoverageBasic Term Life InsurancePension PlanDeferred Compensation ProgramPaid Holidays, Vacation, and Sick TimeYou may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link:

http://www.cookcountyrisk.com/

MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER