Director of Care Management (RN) Position Available In Fulton, Georgia

Director of Care Management (RN) 3.6 3.6 out of 5 stars Atlanta, GA 30301 Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. We are currently in Arizona, Georgia, Montana, Nevada, North Dakota, Illinois and Vermont! Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve. We are looking for a Director of Care Management (RN) to join our team in the Atlanta Metropolitan area! Why Arkos? Great Benefits! Employer-paid Medical, Dental and vision premiums at no cost to you Employer-paid Short-Term Disability premiums at no cost to you Employer-paid Life Insurance premiums at no cost to you Employer matching 401(k) 15 days annual combined sick/vacation and 9 days of holiday during your first year Your Birthday off! We have great people and a growing culture! From coffee bars to Ice Cream Day, we recognize our team! We are ranked as the 113th fastest-growing private company in the United States and 11th within the healthcare services sector on the 2024 Inc. 5000 list! Join us today! How You’ll Make a

Difference :

The Director of Care Management (RN) is responsible for managing the day-to-day oversight and adherence to all standards and expectations of the Clinical and Social Services team. They will report directly to the VP of Clinical Services and will collaborate with the executive team to improve processes, drive performance management and ensure operational quality. The Director of Care Management (RN) will maintain and ensure successful execution and performance management of all care programs as required by Arkos Health and its contractual requirements.

Essential Duties and Responsibilities:

Execute, and ensure performance of, all clinical and social services programs established by Arkos Health in accordance with our contractual requirements Provide supervision, guidance, and ongoing training leadership to the case/care management and social services team. Conduct performance evaluations and formulate disciplinary action plans, as appropriate. Collaborate with the Arkos Health leadership to ensure care management compliance according to corporate and compliance policies Work collaboratively with Director of Quality and other staff to ensure HEDIS and STAR measure performance. Prepare and appropriately deliver reports and agendas as required and participates in meetings according to contracted standards Conduct weekly audits of department cases, to ensure corporate and partner compliance. Review audits with Clinical Services Auditor. Prepare and investigate quality issues or complaints involving the department Participate in after-hour and week-end Administrator on call coverage Proactively interact with network providers and offices to educate on organization services Perform other duties as assigned to support the overall effectiveness of the organization

Qualifications and Skills:

Bachelor’s degree in Nursing (BSN) and current and valid State of Georgia RN Licensure Five years of experience leading ambulatory or community (in-home) care / case management programs, including social services Knowledge of CMS managed care, Medicare/Medicaid state, and local managed care regulations Ability to present clinical information accurately and confidently Able to communicate effectively (orally and in writing) and professionally with all levels of internal staff and external customers Current unrestricted state driver’s license with personal reliable transportation and proof of liability insurance coverage Current BLS/CPR certification, TB test and maintain a negative test annually required Hep B vax/titer proof (Company does offer/or may sign a declination) required Current flu shot (or sign waiver/follow mask policy) required

Preferred Qualifications & Skills:

Prior ER or ICU or other relevant clinical role requiring quick critical thinking experience preferred Experience in managed care or value-based care What’s Next? Apply for the Job! Our recruitment team will review your application and reach out to schedule a quick call! Please feel free to forward this opportunity to someone you believe might be a good fit! If hired, you could be eligible for a referral bonus! Must complete our Culture Index Survey.

Take the assessment at https:

//go.cultureindex.com/s/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence.

Arkos Health EEO Statement:

Arkos Health Inc is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check. Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers – Arkos Health