The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers.
The Program Manager, Clover Care Services (CCS), will support the Dialysis Care Management (DCM) Program, ensuring comprehensive care for Clover Health members with ESRD receiving dialysis. This role focuses on member outreach, care coordination, transportation assistance, appointment management, and addressing non-adherence to improve health outcomes and member satisfaction. This is a hybrid role, working from home with the expectation of conducting field visits weekly.
As a Program Manager, you will:
- Lead outreach to newly identified and existing targeted Clover Medicare Advantage (MA) plan members
- Introduce and enroll into the DCM program, explain benefits and conduct needs assessments
- Collaborate with members to address any barriers to completing appointments including transportation, scheduling and overall provider satisfaction
- Provide education to members on dialysis adherence
- Build relationships with dialysis providers to track completed and missed appointments
- Follow-up with members for missed appointments to understand reasons and offer assistance as needed including transportation services and scheduling assistance
- Identify chronically non-adherent members and engage to uncover barriers
- Schedule follow-up appointments with CCS providers as needed
- Refer members to Supportive Care or Behavioral Health for clinical decline or reconsideration of hemodialysis continuation
- Document assessments in the electronic medical record and maintain accurate records in the program tracker
- Work collaboratively with internal and external resources including providers and behavioral health specialists, pharmacists, nephrologists, and dialysis center care managers
- Monitor reports and dashboards to identify trends,discover opportunities and implement program improvements
- Take on other projects, duties and responsibilities as may be assigned
You should get in touch if:
- You have at least 3 years of post-licensure RN experience.
- You hold a Bachelor’s degree (BSN) or higher from an accredited school of nursing.
- You possess a current valid RN multi-state license.
- You have current Basic Life Support (BLS) (required).
- You have case management or care coordination experience.
- You are able to communicate fluently in English and Spanish, both orally and in writing (Preferred).
- You have a valid driver's license and have access to a vehicle (required).
- You have basic proficiency in computer use and experience using EMRs, Athena preferred.
- You are comfortable working with members of diverse social, ethnic, and cultural backgrounds.
About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.
Benefits Overview:
- Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
- Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
- Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
- Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
Additional Perks:
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Remote-first culture, enabling collaboration with global teams
- Paid parental leave for all new parents
- And much more!
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.
A reasonable estimate of the base salary range for this role is $75,000 to $85,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.