Manager, IRIS Self-Directed Personal Care (RN) (Milwaukee County, WI)
Hckd Cx_1 · Milwaukee, Wisconsin, United States
JOB DESCRIPTION Job Summary
Leads and manages team of self-directed personal care (SDPC) nurse managers and IRIS SDPC operations team members - ensuring program contractual compliance as set forth by the Department of Health Services (DHS), alignment with SDPC and The Management Group (TMG) strategic goals, and overall SDPC program quality, efficiency and integrity standards. Contributes to overarching strategy to provide quality and cost-effective care.
Essential Job Duties
• Leads day-to-day operations of self-directed personal care (SDPC) oversight program and team.
• Provides leadership and supervision to self-directed personal care registered nurse managers and the SDPC operations team - demonstrates accountability for performance and results.
• Manages staffing capacity, hiring, onboarding, ongoing feedback, and training to ensure proper tools and resources are in place and effective.
• Collaborates with other IRIS staff to ensure operations/process efficiency, contractual obligation adherence, and provide consultancy for complex clinical issues.
• Serves as liaison for SDPC personal care oversight agency at IRIS contractors meetings and also the Wisconsin department of health (DHS) services/SDPC monthly check-ins.
• Oversees the organization of My Care Group (MCG) including enrollment, oversight, and the disenrollment of participants.
• Develops all processes and policies for the self-directed personal care oversight agency.
• Works with quality services on all program integrity issues, disenrollment notices of action process and assists leadership with mitigation of grievances.
• Acts as liaison to Wisconsin department of health services information technology system; organizes testing and training to ensure clinical staff may use system effectively.
• Works closely with the data team to develop SDPC tools and dashboards.
• Local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 7 years experience in health care, including home care nursing experience and 1 year experience working with at least one of the three target groups served by IRIS, or equivalent combination of relevant education and experience. •At least 1 year health care management/leadership experience.
• Active and unrestricted Registered Nurse (RN) license in state of Wisconsin.
• Bachelor's degree in nursing.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
• Strong understanding of Medicare and Medicaid rules required, Wisconsin Department of Health Services (DHS) policies and J Waiver knowledge preferred.
• Knowledge of in-home care, risks, equipment, and service options available to participants.
• Ability to work independently, with minimal supervision and be self-motivated.
• Knowledge of and experience with quality management, strategic planning and improvement tools and techniques.
• Strong leadership and mentoring skills.
• Ability to analyze and interpret data.
• Ability to work within a variety of settings and adjust style as needed to work with a diverse population, various personalities, and personal situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills, and attention to detail.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V