GENERAL OVERVIEW:
Responsible for leading professional development for Care Management services across assigned areas of the health system. This role designs and evaluates onboarding, annual education, continuing education, and competency validation to support safe, compliant, and effective Care Management practice. The position partners with leaders and interdisciplinary teams to advance transitions of care, care coordination, and practice excellence. Travel to multiple hospital sites and care settings is required to support education, onboarding, and competency activities.
ESSENTIAL RESPONSIBILITIES
Collaborates with Care Management leadership and interdisciplinary teams to support orientation, ongoing education, quality improvement initiatives, and practice excellence related to transitions of care and care coordination. (50%)
Plans, develops, implements, and evaluates Care Management-focused educational and professional development programs, utilizing appropriate methods, measurements, and tools to assess achievement of learning and competency outcomes. (20%)
Serves as an educational consultant to leadership and staff in areas of Care Management practice, regulatory and accreditation requirements, professional development, program development, and assigned committee work. (15%)
Coordinates, implements, and maintains Care Management onboarding programs, including role-specific orientation, annual education requirements, and continuing education initiatives. (10%)
Conducts formal and informal learning needs assessments and develops, implements, and oversees the annual Care Management competency and education program, including competency validation and documentation in collaboration with leadership. (5%)
Other duties as assigned or requested.
QUALIFICATIONS:
Required
Master’s degree in Social Work, Nursing, Education or relevant experience and/or education as determined by the company in lieu of Master's degree.
2 years of experience in Hospital-based Care Management clinical
2 years of experience in Education and training
Current State of PA RN or PA SW licensure or current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
Certification in Case Management (CCM®, ACM®, or equivalent) within 3 years of hire.
CPR certification
Act 34 Criminal Background Clearance Certificate
Act 33 Child Abuse Clearance Certificate
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
Preferred
None
SKILLS:
Knowledge of hospital-based Care Management practice
Adult learning and curriculum development skills
Competency assessment and validation skills
Knowledge of regulatory and accreditation requirements
Orientation and onboarding program development
Continuing education program coordination
Collaboration with leadership and interdisciplinary teams
Quality improvement and practice excellence support
Strong written and verbal communication skills
Ability to travel to multiple hospital sites and care settings
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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