Director of Chronic Care Management & Clinical Operations jobs in United States
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+MEDRITE Urgent Care · 15 hours ago

Director of Chronic Care Management & Clinical Operations

+MEDRITE is one of the nation's fastest-growing healthcare organizations, focused on providing high-quality urgent care. The Director of Chronic Care Management & Clinical Operations will oversee chronic care management programs, ensuring optimal patient care and leading clinical operations.

Health CareMedicalPrimary and Urgent Care

Responsibilities

Design and launch the clinical workflows for Behavioral Health Integration (BHI) and Wound Care programs, including the selection of screening tools (e.g., PHQ-9, GAD-7) and tissue viability protocols
Author and maintain Standard Operating Procedures (SOPs) that standardize how the 50+ staff handle specialized patient escalations
Partner with IT/Product teams to customize the EHR or CCM platform for better tracking of wound healing progress and mental health status
Provide leadership to 5 Team Leads, conducting weekly 'Lead-Level' audits to ensure their respective sub-teams of 10 are meeting outreach and billing minute targets
Manage staffing ratios and recruitment strategies to ensure the team can scale as patient enrollment increases
Monitor and report on high-level KPIs including Net Promoter Score (NPS), HEDIS quality scores, and reduction in Emergency Department (ED) utilization
Lead internal audits to ensure 100% of care plans are 'patient-centered' and updated at least annually per CMS guidelines
Act as the final clinical escalation point for complex patients requiring multi-disciplinary intervention between primary care, mental health, and wound specialists

Qualification

NursingCase ManagementChronic Care ManagementClinical OperationsTraining ProgramsHealthcare AdministrationCMS GuidelinesLeadershipPatient-Centered CareProcess ImprovementCommunication SkillsOrganizational SkillsMulti-Disciplinary Collaboration

Required

Strong background in Nursing and Case Management
Experience with Critical Care Medicine and Medicine practices
Proven ability to develop and deliver effective staff Training programs
Excellent leadership, communication, and organizational skills
Ability to manage multiple priorities and optimize clinical operations
Bachelor's or advanced degree in healthcare-related fields such as nursing or medicine
Experience in chronic care management or clinical operations is highly preferred
Commitment to patient-centered care and continuous process improvement
Education: BSN required; Master's in Healthcare Administration (MHA) or Nursing (MSN) highly preferred
Experience: 7+ years in clinical care management with at least 3 years managing 'managers' in a high-volume ambulatory setting
Credentials: Certified Case Manager (CCM) or equivalent
Expertise: Deep knowledge of CMS Fee-for-Service and Value-Based Care models

Preferred

Experience in chronic care management or clinical operations is highly preferred
Master's in Healthcare Administration (MHA) or Nursing (MSN) highly preferred

Company

+MEDRITE Urgent Care

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Welcome to our page! Founded in 2010 in Brooklyn NY, +MEDRITE is one of the fastest growing healthcare organizations in the country.

Funding

Current Stage
Late Stage

Leadership Team

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Menachem Goldfarb
Assistant to CEO
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Company data provided by crunchbase