MANAGER, CASE MANAGEMENT
You will love being mentored by the fantastic leadership of this medical management team! National healthcare enterprise is committed to improving the health of the medically underserved with a focus on whole health.
INCREDIBLE growth potential- GENEROUS BENEFITS & RELOCATION!
Lead and develop the case management team in enhancing outcomes for the members they serve.
-Review analyzes of activities, costs, operations and forecast data
-Promote compliance with federal and state regulations and contractual agreements.
-Develop, implement, and maintain case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure.
-Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.
-Develop staff skills and competencies through training and experience.
- Bachelor’s degree in Nursing or equivalent experience.
-3+ years case management experience and recent nursing experience in an acute care setting particularly in medical/surgical, pediatrics, or obstetrics.
- Thorough knowledge of case and/or utilization management and clinical nursing.
-Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP.
-Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
-License/Certification: Unrestricted RN license in applicable state(s) and valid driver's license and automobile insurance. Case Management Certification (CCM) is a plus
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Keywords: nurse manager, managed care, nurse jobs