Manages and supports the daily activities of care coordination/population health functions, including managing staff, scheduling, educating and orienting staff, and monitoring and evaluating the performance of assigned team members. Collaborates with leadership to develop and maintain policies and procedures and establish and monitor measurable care processes and metrics to achieve quality and efficiency goals. The focus of this position will be on Care Transitions.**Ideally position will be based in Southeastern WI. Some flexibility to be within our system footprint with flexibility to travel to our Wisconsin sites.Provides direction to staff to ensure a high level of productivity; organizes schedules and coverage needs to ensure efficient operations. Serves as a resource to the care coordination/population health team, monitors and reviews progress, accuracy, and functioning of work, and provides guidance on more complex issues. Revises processes and metrics as needed to effectively assess outcomes.Establishes, maintains, and promotes effective communication and working relationships among caregivers, patients, families, and other clinical and operational partners to optimize the seamless coordination of care. Responds to concerns and provides problem resolution as appropriate.Collects, analyzes, and reports data to measure and identify the effectiveness of care processes and variations from standards and expectations. Presents information to leadership; assists to establish measures, performance targets, and benchmarks to drive achievement of established goals.Evaluates and monitors the quality and efficiency of care coordination services. Identifies, develops and implements systems, policies, and procedures which enhance the ongoing care of patients served. Ensures compliance with policies, procedures, practices, and regulatory requirements.Works with leadership to develop and implement new and enhance existing services.Ensures that the team has a stable operating platform from which to deliver effective and efficient services. This includes ensuring workflows, information systems, and operating processes, procedures, and resources are appropriately maintained.Directs the formal orientation program for new caregivers and develops and implements staff education plans which may include providing education to staff to enhance the professionalism and competence of the caregivers.Participates in multidisciplinary cross functional efforts to ensure high quality, cost effective coordinated care. Partners with patient and family members to provide whole person care throughout the continuum of care and ensures smooth transitions between care settings. Collaborates with physicians and a multidisciplinary team to assess needs, employ clinical strategies, and evaluate outcomes to achieve and/or maintain optimal health/wellness using a patient-centered, coordinated and accessible approach.Maintains current applicable standards of care established by the profession, regulatory bodies, JCAHO, and governmental agencies.Scheduled Hours M-F 8:00-4:30Licensure, Registration and/or Certification Required:Registered Nurse license issued by the state in which the team member practices.Education Required:Bachelor's Degree in Nursing.Experience Required: Typically requires 3 years of experience in in managed care/case management and a minimum of 3 years in clinical nursing. Typically requires 1 year of supervisory experience in management of staff and budgets.Knowledge, Skills & Abilities Required:CM/Care Transitions certification within 2 years or advanced nursing degree/active enrollment in advanced degree program in lieu of certification.Critical thinking and problem solving to identify and implement new care delivery models.Proficiency in interpretation and representation of statistical data. Computer competency in running reports, files, data manipulation.Strong relationship and strategic partnering with various teams/executives to achieve shared objectives.Leadership and change management skills, to motivate and coordinate participation.Excellent written and interpersonal communication/presentation skills. Effective oral and written communication with all levels of employees.Experience working with diverse groups on a variety of clinical, care management, and quality related projects.Experience in transitional care principles. Experience in state, fed, payer/NCQA regulatory requirements.Skills in managing multiple conflicting and complex demands in geographically dispersed areas.Ability to work well within a team atmosphere while recognizing and meeting the individualized needs of customers and internal and external partners.Ability to manage multiple priorities in a dynamic work environment.Competent use of Microsoft Suite and Epic.Experience and understanding of Medicare Bundles ProgramUnderstanding of the continuum of care and areas other than ambulatory such as inpatient and home health. Experience implementing technology to transform patient care such as remote monitoring.Strong change management experience.