Manager, Case Management
Location: Manchester New Hampshire
Description: Centene is employing Manager, Case Management right now, this career will be placed in New Hampshire. More complete informations about this career opportunity kindly read the description below. Job Title: Manager, Case Management
Job Type: Full-Time
Location: Manchester, NH
Job Description:
Position Purpose:
Perform duties to c! onduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions.
Knowledge/Experience:
Bachelor's degree in nursing or equivalent experience. 3 - 5 years case management experience and recent nursing experience in an acute care setting particularly in medical/surgical, pediatrics, or obstetrics and management experience. Thorough knowledge of case and/or utilization management and clinical nursing. Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP.
Position Responsibilities:
. Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes.
. Promote compliance with federal and state regulations and contractual agreements.
. Develop, implement and maintain compliance with policies and procedures regarding ! medical case management.
. Develop, implement, and maintai! n 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.
Licenses/Certifications: Current registered nurse in applicable state(s) and state driver's license and automobile insurance. Case Management Certification (CCM) preferred.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Centene.
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This career starts available on: Mon, 25 Mar 2013 10:00:05 GMT