Manager, Complex Health
Location: Must reside in Georgia (remote)
Schedule: Full Time | Hybrid | Travel required
Pay: $95,000
About Us
The Columbus Organization is a group of caring professionals whose mission is to assist individuals at risk and with complex care needs remain in the least restrictive environment of their choice while improving their quality of life through coordinated services and supports. With a person-centered planning and thinking approach, our vision is to be recognized as an organization that transforms individuals’ lives and provides families peace of mind in knowing their loved one has a voice and a valued role in their community.
Position Summary
The Manager, Complex Health is responsible for leading and overseeing the Complex Health Care Management team, ensuring the delivery of high-quality services in alignment with program standards and organizational policies. This role includes managing critical incident reviews, maintaining compliance with Columbus policies and procedures, and safeguarding the integrity of the Care Management Program.
Essential Functions
Care Management Oversight
- Lead and supervise person-centered care planning and cost-effective service coordination.
- Ensure all care activities comply with program standards and regulatory requirements.
- Demonstrate comprehensive knowledge of Community Care Services Program (CCSP) requirements, including eligibility criteria, covered services, consumer-directed care options, and Source Waiver policies and procedures.
- Manage consumer-directed care and monitor expenditures for home and community-based services.
- Provide guidance and oversight to staff regarding CCSP and Source Waiver requirements to support compliance and appropriate service delivery.
Compliance and Quality Assurance
- Conduct thorough reviews of critical incidents, identify root causes, and implement corrective actions.
- Maintain expert knowledge of Community Care Services Program (CCSP) and Source Waiver policies, regulations, eligibility requirements, and service delivery standards.
- Ensure timely and accurate incident reporting in alignment with organizational and regulatory policies.
- Develop and execute strategies to prevent incident recurrence and enhance patient safety.
- Participate in audits and prepare documentation to demonstrate compliance.
- Monitor adherence to policies, procedures, and standards of practice.
Team Leadership and Development
- Provide leadership and supervision to Care Management staff.
- Coordinate daily operations including staffing, scheduling, and resource allocation.
- Support professional development through coaching, training, and performance evaluations.
- Facilitate onboarding and ongoing education to promote continuous skill growth.
- Foster a collaborative and supportive team environment that encourages open communication and engagement.
Program Improvement and Reporting
- Lead quality improvement initiatives to enhance care management processes and patient outcomes.
- Use data and feedback to identify improvement opportunities and implement evidence-based practices.
- Monitor key performance indicators and report team performance to senior leadership.
- Facilitate regular team meetings to review cases, share best practices, and address challenges.
- Collaborate with other departments and healthcare providers to ensure seamless service delivery.
Position Requirements
- Associate’s or bachelor’s degree in nursing from an accredited institution.
- Current and valid Registered Nurse (RN) license required.
- Minimum 5 years of nursing experience.
- 1-2 years of experience in a leadership or management role required.
- Strong understanding of care management principles and practices.
- Regular travel required.
- Ability to work evenings and weekends as needed.
Skills, Knowledge, and Abilities
- Strong critical thinking, problem-solving, and decision-making skills.
- Strong communication and interpersonal skills.
- Ability to manage multiple priorities and work effectively in a fast-paced environment.
- Strong assessment and clinical skills.
- Ability to develop and implement individualized care plans.
- Strong organizational and time management skills.
- Proficiency in electronic health records (EHR) and other relevant software.
Travel/Work Environment
- Remote home office.
- Regular travel required.
- Ability to work evenings and weekends as needed.
Additional Information
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time.
Equal Opportunity Statement
The Columbus Organization provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, The Columbus Organization complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The Columbus Organization expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with employees’ ability to perform their job duties may result in discipline up to and including discharge.
