​Clinical Care Manager – Reimbursement Policy & Marketing Strategy

AHCA/NCAL is seeking a Clinical Care Manager to improve lives by delivering solutions for quality care. This role will provide clinical consulting and support services to AHCA/NCAL Solutions contracted networks.

Qualifications & Skills:
Bachelor’s degree required. Clinical training required and registered nurse with MDS and/or survey management experience preferred. Minimum five years’ work experience in healthcare setting, post-acute/long term care preferred. Experience in an association or other membership organization preferred.

Duties & Responsibilities:

• Identify, define, and participate in quality improvement initiatives that improve quality outcomes and provider performance in value-based managed care contracts.
• Provide network members with the information, tools, and resources to comply with network quality program and quality contracts.
• Assist network member providers in implementing care protocols and meeting quality goals.
• Provide in-person training and educational sessions.
• Identify, develop, and participate in measuring adherence to quality program requirements development by individual networks, which may include clinical protocols, quality measurement, or other requirements.
• Develop strategies, initiatives, and projects to improve how care is delivered and measured.
• Provide guidance to network facility staff to administer high caliber patient care on a consistent basis.
• Staff network quality committees, providing clinical leadership, expert knowledge, analysis, and support to facilitate achievement of committee goals.
• Present to state and/or national conferences and conventions in areas of expertise.
• Other special projects and duties as assigned.

Interested candidates should submit resume and cover letter to: Tarna Davis, Senior Director, Human Resources at hr@ahca.org.