Manager, Care Management at Aledade

Washington, District of Columbia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Registered Nurse Licensure in the state of Maryland
Bachelor’s degree or equivalent
Minimum 5 years experience in a care manager, case manager, or related role
At least 3 years in a people manager role
At least 2 years experience providing care to complex high risk older and/or disabled adults
Comprehensive knowledge of Social Determinants of Health (SDOH) including screening techniques and appropriate resources and interventions
Technical mastery of electronic health record charting, population health tools, and health information exchanges
Experience designing and utilizing interdisciplinary team communications and protocols
Experience managing projects and vendor relationships
Ability to travel to visit practices, HQ, or other team or company events as needed up to 4 times per month
Ability to sit for prolonged periods of time, with extensive use of computers and keyboard; occasional walking and lifting may be required

Responsibilities

Manage from end-to-end a Care Management program that incorporates Aledade perspective on effective care management interventions, leveraging internal and external experts and literature
Utilize internal staffing as well as vendor contracts to execute the program and be accountable for the quality and impact of the Aledade Care Management program as well as the tools used to coordinate internally
Stay up to date with payer program and regulatory requirements applicable to the Care Management program and implement changes to ensure ongoing program and regulatory compliance
Directly manage, coach and lead a team of interdisciplinary care managers, ensuring patients receive the appropriate care at the appropriate time to help longitudinally and episodically prevent unnecessary medical spend and promote high quality of care
Develop and report metrics for direct reports and market leaders to measure their success and the success of the overall program
Determine and deploy appropriate staffing assignments considering team skillsets and practice partner attributes and preferences as well as the strategic goals of the market
Perform the tasks of the Care Manager temporarily when vacations or other events create temporary staffing shortages
Ensure team members including junior team members are performing “top of license” scope of work
Provide data and insights to physician and administrative leaders in partner practices including performance metrics, coaching, and program guidance related to the services they are receiving from the Aledade team, incorporating asks and preferences of the physicians and administrators into the team’s approach to the work

Skills

Care Management

MDPCP

AHEAD Model

Value-Based Care

CMS Innovation

Team Leadership

Regulatory Compliance

Vendor Management

Patient Interventions

Registered Nurse

Healthcare Metrics

Training Programs

Aledade

Supports independent primary care practices

About Aledade

Aledade operates in the primary care sector, focusing on supporting independent primary care practices. The company provides these practices with essential support and data to help them navigate the challenges of the changing healthcare landscape. Aledade offers personalized, on-the-ground assistance, ensuring that practices have timely access to the right data to improve the quality of care they deliver to their communities. Additionally, Aledade has developed a proprietary technology application that gives practices insights about their patients, further enhancing their care capabilities. Unlike many competitors, Aledade is dedicated to the success of independent practices, making it the largest network of its kind in the nation. The company's goal is to empower these practices to thrive and provide high-quality care through its support services and technology.

Bethesda, MarylandHeadquarters

2014Year Founded

$662MTotal Funding

SERIES_FCompany Stage

Enterprise Software, HealthcareIndustries

1,001-5,000Employees

Risks

Increased competition from platforms like Privia Health threatens Aledade's market share.

Integration challenges from acquiring Medical Advantage may disrupt operations in Michigan.

Rapid technological advancements require continuous updates to Aledade's technology platform.

Differentiation

Aledade partners with independent primary care physicians to create Accountable Care Organizations.

The company offers a proprietary technology platform for timely patient insights.

Aledade provides personalized, on-the-ground support to enhance care quality.

Upsides

Aledade's acquisition of Medical Advantage expands its presence in Michigan significantly.

The rise of telehealth creates new opportunities for Aledade's primary care practices.

Aledade's focus on value-based care aligns with increasing demand for ACOs.

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