Assistant Manager Care Navigation

Job Summary:  Maintains responsibility and oversight of a team for assessment, planning, and implementation and evaluation of health services of a specific population across the continuum of care, including pre- / post-hospitalization. Evaluate, support and participate in a significant level of facilitation in multidisciplinary illness and treatment plan of care collaboration. Facilitate education, training, processes and outcomes while leading and coordinating the population health team, collaborating with providers, the multidisciplinary team, and the community. Foster staff development opportunities that promote and maintain professional competencies.  Serves as a liaison and resource between providers and other health care teams and the community to support the quadruple aim.   Reviews, analyzes, and reports data and implements quality improvement initiatives focusing on readmissions, complications, clinical recommendations, and self-management. Facilitates interdisciplinary collaboration to measure and assess processes and outcomes, and proactively identify potential solutions. Collaborates with community providers and employed providers and care navigators to identify high-risk admissions, screen re-admissions, facilitate care planning, impact disease management, and work with those teams to optimize the continuum of care plan of health care services. Supports Health Care reform and Payer Initiatives. Supports the Manager and Director of Population Health in care team responsibility, oversight and management.