Manager, Care Management

The Manager, Care Management will oversee the assessment and evaluation of member needs to achieve optimal wellness, guiding members toward appropriate resources. They will support a care management model that utilizes extenders to address social determinants of health, promoting culturally responsive and person-centered approaches. Responsibilities include fostering partnerships with community organizations, monitoring program performance using data for continuous improvement, and aligning departmental processes with market objectives. The role involves collaborating with internal teams and external partners for seamless integration of non-clinical support, ensuring departmental compliance with federal, state, and contractual requirements, and creating a positive department through effective communication. Additionally, they will develop and maintain policies and procedures, support training for care management extenders, assist in resolving member issues related to social needs, and represent the care management program in collaborative initiatives and community forums.