What We Strive For
At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. Recognized with ten prestigious workplace awards, including LinkedIn’s 2024 Top Startups in Denver, we’re setting a new standard in kidney care. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference.
What You’ll Do
The Manager of Clinical Care in the Transitional of Care Management (TCM) team provides direct supervision of the RNCMs in the management of complex CKD and ESRD patients referred into the program. This Manager of TCM helps with training and chart auditing to ensure NCQA accreditation guidelines are met. This individual assists with efforts to develop, implement, evaluate, redesign, and modify TCM practice standards and works closely with the TCM staff to assist patients safely, effectively, and efficiently across and through the continuum of care. This position reports to Sr. Director, Transition of Care.
The Day to Day
- Supervises daily operations of the TCM Case Management staff directed by the TCM Senior Director.
- Manages the RNCM team to meet daily activity and performance metrics.
- Helps conduct employee performance reviews, monitors, and mentors TCM staff.
- Helps Coordinate daily flow of the TCM team (this includes overseeing PTO requests, assignment coverage, on-call coverage).
- Functions as a resource person for the TCM processes pertaining to NCQA and CCM efforts.
- The Clinical manager of TCM will attend regional market meetings including client facing meetings as needed to represent the TCM program.
- Facilitates regional TCM rounds in collaboration with regional clinical teams including regional medical directors.
- Collaborates with all levels of the clinical team to improve processes, communication, and team skills needed to provide the best care to our patients to ensure safe/effective/efficient plans of care are implemented
- Monthly 5-10% of RN or NP charts will be audited to ensure quality care is being provided to our patients in accordance with our program description. Performance management of clinical staff that are not meeting the quality audit expectations is a critical part of the clinical manager's role.
Minimum Qualifications
- Associate’s degree from accredited school of nursing.
- 8+ years combined of related education, experience, or certification.
- 1+ year of supervisory/management experience.
- 2+ years experience working with NCQA CCM accreditation.
- 2+ years complex care management or transitions of care experience or equivalent experience in healthcare environment.
- Current Registered Nurse (RN) license in the state of practice required (position may require licensure in multiple states within a region).
- Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
- Travel for in-person on-sites required <10% annually.
Preferred Qualifications
- Certified Case Manager (CCM) certification preferred.
- Current knowledge of CKD/ESRD or Complex CM processes preferred.
- Managed/Value-Based Care and payor experience preferred.
About You
- Able to use expert clinical practice, leadership skills, and critical thinking skills to efficiently coordinate and direct patient care among all health care providers while maximizing use of resources.
- Excellent communication and interpersonal skills.
- The motivation and drive to work independently with minimal supervision to pursue continuous development of self and others are required.
- Ability to foster principles of participative management by identifying/involving relevant individuals in program-related decisions is required.
- Ability to apply creative and innovative approaches to help develop and maintain systems that achieve higher levels of multi-disciplinary team performance and desired patient outcomes is needed.
- Strong analytical skills.
Annual Base Salary Range: $86,000 - $104,000
We care and support our strivers holistically by providing competitive compensation and a comprehensive benefits package, including:
- Medical, dental, and vision insurance
- Two employee assistance programs (EAP)
- 401k with employer match
- Employer paid and voluntary life and disability insurance
- Health and flexible spending account
- Paid holidays, flexible vacation time, sick time, volunteer time, and sabbaticals
- Eight weeks of paid living donor leave
- A well-being bundle with Carrot Fertility and Peloton at no cost
- Annual professional development stipend
- Mental health and financial wellness resources
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com
