SCHCHA's Career Center

External Candidates are eligible for a $10,000.00 Commitment Bonus paid over two years

Home Visits are required for this position

This position is 100% research/grant funded through April 2027.  Continuation of this position is contingent upon continued support from all funding sources.  If for some reason funding is not continued, it is possible that your position could change from full to part time status, or could potentially be eliminated.  In accordance with Duke Policies, only staff who are not paid 100% from research/grant funds are eligible for severance pay or Duke Reduction in Force policy.  Further information on this can be found at:  https://hr.duke.edu/policies/expectations/reduction-force.  In the event that your position is eliminated, a minimum of 60-day notification will be provided to you and the Department/Divisions will work to support your search for employment elsewhere within Duke University Medical Center.

Occ Summary

The Manager reports directly to the Directors of the Care Management and provides direct supervision for the Team Leads (T Ls) and oversight of the Care Managers (CMs) who function within rising risk, complex care, access center, and clinical quality settings. The Manager is responsible for operationalizing Care Management workflow standard s and processes, ensuring adherence to regulatory guidelines and ensuring operations are consistent with Population Health Management Office and DUHS organizational standards.

North Carolina Integrated Care for Kids, NC InCK, a new model led by a partnership among Duke University, UNC Health, and the NC Department of Health and Human Services launched in January 2022 for children who are insured by Medicaid or CHIP NC Health Choice in Alamance, Orange, Durham, Granville, and Vance counties. A coalition of partners including families, local organizations, and state leaders in the health, social, and educational needs of children spent more than two years designing the model.

The NC InCK model, pronounced, ink supports integrated care for children by more holistically understanding their needs, supporting and bridging services for children and their families, and investing in what matters most to them. NC InCK builds on Medicaid's whole-person Advanced Medical Home AMH care management model and practicebased incentive programs. NC InCK is bringing in additional data from schools and juvenile justice to supplement existing medical and behavioral health data to better identify children who could benefit from additional care management supports. These children and families will have the chance to work with a family navigator from their AMH or their Medicaid health plan.

Work Performed

• Oversee daily clinical operations of multidisciplinary teams.
• Establishes and implements processes to assure the integration/coordination of all discipline s in providing day-to-day patient care services.
• Functions as a department al subject matter expert. In conjunction with the Team Leaders, the Manager will assess daily referrals, cases, and treatment request ensuring acuity and caseloads are equitable.
• Escalates and keeps Director informed of workflow or personnel concerns.
• Provides hands-on support for critical staffing needs.
• Monitoring to include, but not limited to: productivity, monthly reporting, documentation timeframes, quality of Assessments, reach rates, missed opportunities.
• Collaborating with the Director in conducting leadership rounds to support workflow and staff engagement.
• Development and oversight of CM work schedules/calendar management via API in accord- ance with the PTO policy.
• Implement operational systems, processes and policies in support of care management programs' mission-- specifically, standardization of care, establishment of disease and population health metrics, and consistency of reporting, whole-person care integration,

information flow and management, job functions.

• Evaluate clinical practice of specified discipline and review clinical records to ensure standards of care and quality of services are provided in accordance with DUHS

Expectations.

• Will conduct employee 30/60/90 day evaluations as well as mid-year and end of year evaluations.
•  Ensures compliance with licensure and certification requirements of new and existing employees.
• Provides education to support regulatory compliance in collaboration with DUHS Compliance and Population Health Management Office leadership.
• Conducts Care Management te am meetings.
• Participates in monthly CM departmental Meetings.
• Provide education and feedback to provider groups as indicated.
• Ensure adherence to all Population Health Management office and DUHS organizational policies .
• Ensures adherence to regulatory compliance.
• Promotes an environment of collaboration across the health system and throughout the community.
• Attends and contributes to the Population Health management meetings and Committee meetings.
• Will participate in the development and presentation of projects and education topics to staff, provider groups, community stakeholders, and post-acute care arenas as indicated.
• In collaboration with the Directors and Human Resources, manages the recruitment, hiring, onboarding and retention of Care Management staff.
• Develop the administrative framework required to support education and training, initiatives.
• Evaluate and measure the effectiveness of training and development; align with

organizational business goals and objectives.

Collaborate with PHMO leadership to develop guiding principles, strategies and plans; conduct comprehensive needs assessments; determine education, training and development priorities based on assessed needs, business impact and available resources.

• Provide consultation to manager colleagues for development of job-specific training.
• Electronically document and/or monitor all activity in Maestro, and other documentation systems relevant to the position. In addition, provides any necessary follow-up interventions that may be required.
• Establish any necessary agency Performance improvement activities.
• Facilitate the team process including the interdisciplinary communication and negotiation skills.

Knowledge, Skills and Abilities

The work activity and patient acuity levels can create a demanding atmosphere, therefore individuals successful in this job are:

• Experience with the care management continuum of care and execution of care management programs .
• Ability to analyze data and employ approved management techniques.
• Computer proficiency and experience with care management workflow systems.
• Knowledge of information systems to support the evaluation of current capacity as well as future needs.
• Strong communication and leadership skills.
• Provide daily management of staff performance.
• Knowledgeable of federal and state healthcare standards/regulations.
• Considerable knowledge of large-scale health care facilities, policies, and issues.
• Knowledge of payer requirements and quality measures that support the development of depart mental policies, procedures and standards.
• Effective organizational, oral and written communication skills, problem solving, program development, and team building skills.
• Ability to work with a variety of disciplines and levels of staff across departments, community, and the health system is required.
• Ability to form positive, collaborative relationships with PHMO executive team and effectively negotiate with internal and external service providers.
• Ability to establish priorities, meet deadlines, develop and manage the department's productivity standard in the management of the work assignment.

Minimum Qualifications

Education

Work requires a bachelor's degree in a clinical field such as Nursing, Counseling, Social Work, Therapy, allied health, or community health related fields.

Experience

Work requires a minimum of five years of clinical experience, including experience or any other equivalent combination of relevant education and/or supervisory experience.

Degrees, Licensures, Certifications

Must have a current license in at least one of these areas:

• Current or compact RN licensure in the state of North Carolina
• Current licensure as a licensed clinical social worker by the NC Social Work Certification and Licensure Board
• Current licensure as a licensed professional counselor by the state of NC,
• Current licensure as a licensed addiction specialist by the state of North Carolina. Requires ACM or CCM certification within 3 years of hire date.  

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