Summary
The Regional Account Manager (RAM) serves as the care management lead for the assigned region. The RAM is responsible for engaging health center leadership, multidisciplinary clinical and care management teams within health center practices to provide cost effective quality care of the assigned patient population while having direct oversight of the regional CMHN care management team. The RAM will lead the region through practice transformation strategies while mentoring, educating, and developing programs and processes within the health center practices and integrated care management staff. The RAM serves as the liaison for the assigned region and the network for care management activities. The RAM may work remotely within regions to cover the needs across the network. In addition, this position will support CMHN goals and objectives in meeting performance improvement targets for various initiatives, data analysis that supports care management, standardized plan of care expectations, and patient team development and perform other duties as assigned to support the development of the network.
Qualification Requirements
Experience:
- Minimum of (5) five years of nursing experience in an ambulatory or acute care setting, home health, or public health (FQHC Preferred).
- At least (3) years of leadership experience.
Additional skills required:
- Excellent verbal communication skills. Must be able to work with changing priorities.
- Requires excellent organizational, problem solving and critical thinking skills.
- Must be able to interact with individuals of all cultures and levels of authority.
- Requires the ability to maintain confidentiality.
- Must be able to function as part of a team.
Additional skills preferred: Experience with electronic documentation systems.
Minimum Qualifications (Degrees/Certificates)
- Bachelor’s Degree or better from an accredited School of Nursing with an unrestricted license to practice nursing in NC
- Certified Case Manager (CCM) Preferred
Knowledge, Skills and Abilities
- Excellent and effective written and oral communication skills.
- Proficiency in Microsoft Office Outlook, Word, Excel, PowerPoint use and e‐mail communication.
- Ability to communicate clearly and succinctly.
- Dependable, manages time well; efficient and organized.
- Ability to produce accurate work; ability to perform multiple tasks in a proficient and timely manner.
Supervisory Responsibilities
- RN Care Managers
- Community Health Workers
Essential Functions
- Works directly with CMHN leadership, health center practice sites and hospital partners and oversees the implementation of the CMHN model of care; Using the AMH Tier 3 guidelines to evaluate practices against the process, establishes performance goals and provides consultation for improvement.
- Evaluates work plans and progress reports; re-evaluates health centers against standards to maintain AMH Tier 3 status.
- Assists with the design of workflows to support clinical integration and to maximize the role of care management team members.
- Works with health center staff to utilize information produced by CMHN and other available data to improve performance and quality.
- Contributes to the formation and implementation of clinical and operational initiatives using evidence-based practices to drive results across the patient population significantly improving care and reducing costs.
- Contributes to the development of the full range of disease management tools, health and wellness tools, and techniques including health risk assessments, screening tools, point of care reminders, and patient and family educational and engagement tools; Assists practices with their implementation.
- Develops and provides education and training of CMHN and health center staff; utilizes webinars and collaborative learning models that may be disease, patient experience or operationally focused.
- Builds relationships with community agencies, care delivery and educational partners/contractors; may serve as the liaison to these entities.
- Researches innovative disease specific programs such as Shared Decision Making, Asthma Outcome, Diabetes programs and presents findings and develops processes for implementation following approval.
- Work collaboratively with multi-disciplinary team members to facilitate achievement of desired goals.
- Adhere to CMHN privacy and security policies to ensure that patient and network data are properly safeguarded.
- Abide by department guidelines, company policies, and HIPAA regulations.
- Attend departmental and corporate meetings, local and regional trainings, or other events as required.
- Willingly performs other duties as assigned.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to, stand, sit, talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach, stoop kneel to install computer equipment or AV
- Specific vision abilities required by this job include close vision requirements due to computer work and distant vision requirements
- Light to moderate lifting is required
- Ability to uphold the stress of traveling
- Regular, predictable attendance is required
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Moderate noise (i.e. business office with computers, phone, and printers, light traffic)
- Ability to work in a confined area
- Ability to sit at a computer terminal for an extended period or drive long distances
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of the position. All employees may have other duties assigned at any time.
