Chief of Care Management

Job Title: Chief of Care Management

Reports To: Chief Operating Officer

Position Overview: The Chief of Care Management provides executive leadership and strategic direction for the care management workforce across the organization. This role champions a culture of accountability, person-centered care, and operational excellence through strategic oversight, data-driven evaluation, and continuous improvement, while maintaining a direct link to the VP’s to support alignment and prevent gaps between leadership and frontline operations and maintain compliance with OPWDD and other applicable regulations. 
 

Essential Responsibilities:

· Maintains professional standards while fostering a positive and supportive work environment that promotes a healthy balance, encourages growth, recognizes achievements, and prioritizes open communication to help staff thrive and excel.

· Lead and oversee the development and implementation of strategies to strengthen the care management workforce and promote person-centered care.

· Provide high level oversight to the VPs of Care Management and Care Management workforce, ensuring clarity of expectations and professional growth of the workforce.

· Foster a culture of accountability, transparency, and high performance across the care management workforce.

· Continuously monitor and leverage data and analytics to monitor care management outcomes, identify trends, inform strategic and operational decisions, and drive accountability across regions.

· Collaborate with leadership to ensure alignment and consistency of care management teams with company-wide objectives and expectations.

· Proactively identify opportunities for improvement and standardized processes within Care Management and drives problem-solving initiatives from identification through resolution.

· Support alignment and coordination between care management and other relevant departments to drive system-wide improvements.

· Serve as a strategic liaison with OPWDD and other relevant agencies to address escalated issues.

· Attend high level agency meetings, such as the Executive Oversight Committee and Strategic Initiative meetings.

· Ensure timely responses to all inquiries and requests, with a commitment to addressing and resolving issues within 24 hours to maintain efficient operations and employee/individual satisfaction.

· Take lead and ownership of assigned tasks and special projects within the teams and assist with coverage as needed.

· Ensures compliance with all OPWDD regulations as well as Tri-County Care policies.

· Participation in internal and external meetings and committees as needed.

· Performs other related duties as assigned by supervisor, to support overall organization’s goals.

Specific Knowledge, Skills, and Abilities:

· Visionary leadership with the ability to inspire and influence at all levels.

· Exceptional communication and organizational skills.

· Results-driven, with a strong focus on creating accountability with measurable outcomes and continuous improvement.

· Proficiency with technology and ability to utilize relevant systems and tools.

· Ability to manage sensitive and confidential information with discretion and professionalism.

· Strong understanding of OPWDD systems, quality, clinical, compliance and outcome-driven principles.

Required Experience, Minimum Qualifications

• At least three years of experience in a management or leadership role
• Demonstrated experience in care management