Job Abstract

Equal Opportunity Employer

The mission of the Health Federation of Philadelphia is to promote health equity for marginalized communities by advancing access to high-quality, integrated, and comprehensive health and human services.  Health equity is at the heart of all our work. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status.  This commitment applies to all aspects of the Health Federation of Philadelphia’s employment practices, including recruiting, hiring, training, and promotion.

JOB SUMMARY
The Director of Care Management leads a team that supports health centers and their patients in accessing primary care, addressing social needs, and following up after hospitalizations. The Director is responsible for hiring, training and supervising a community health worker team, as well as additional team members, who may include clinically licensed team members in the future; developing and implementing processes to achieve optimal outcomes; and serving as the primary liaison with health center staff and other external stakeholders, including payers. The Director works closely with the Senior Director of Population Health to develop and manage the program budget and determine how revenue will be expended.  The Director also serves as an organizational resource for other staff and programs related to community health worker training and supervision, value based payment programs, and Medicaid managed care and is part of the Population Health Leadership Team.

JOB SPECIFICATIONS

Responsibilities/Duties:

• Direct a centralized care management and quality improvement program, including developing and refining workflows, optimizing performance, and leading all decision-making regarding the program.
• Hire, train and supervise team members.
• Mentor Community Health Workers and support them in professional development, including pursuing and maintaining certification.
• Manage program data. Use patient/member level data accessed through multiple applications and from multiple sources to establish work priorities, assign tasks to staff, develop reports, and engage with health centers and Managed Care Organizations regarding performance.   
• Communicate regularly with health centers, Managed Care Organizations,  and other stakeholders regarding performance and patients.
• Manage program budget.
• Continuously assess and improve processes, including evaluating and adding new technology tools as needed and as permitted by budget.
• Work with Senior Director - Population Health to seek out new contracting opportunities and conceptualize and implement portfolio expansion.
• Serve as an internal subject matter expert on community health worker supervision, social needs resources, value-based payment, and care management with other HFP programs.
• Ensure that staff safeguard patient privacy and confidentiality according to HIPAA rule.
• Provide direct outreach and care management services to patients, as needed.

Eligibility and participation is handled consistent with the plan documents and HFP policy.

DISCLAIMER

The Health Federation reserves the right to modify, interpret, or apply this job description in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This job description in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains “at will.” The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals.