Manager, Case Management
Location: Bedford New Hampshire
Description: Centene is currently interviewing Manager, Case Management right now, this occupation will be placed in New Hampshire. More details about this occupation opportunity kindly see the descriptions. Centene Corporation is a leading multi-line healthcare enterprise that provides managed-care programs and related services to individuals receiving benefits under Medicaid, including Supplemental S! ecurity Income (SSI) and the State Children's Health Insurance Program (SCHIP).Position Purpose: Perform duties to conduct 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, implemen! t and maintain compliance with policies and procedures regardi! ng medical case management.* 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. Licenses/Certifications: Current registered nurse in applicable state(s) and state driver's license and automobile insurance. Case Management Certification (CCM) preferred.
3 or more years of experience
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Centene.
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This occupation starts available on: Wed, 27 Mar 2013 10:03:47 GMT