Manager, Case Management
Location: Bedford New Hampshire
Description: Centene Corporation is at present looking to employ Manager, Case Management right now, this job will be placed in New Hampshire. For detail informations about this job opportunity please read the description below. Position Purpose:
Perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administra! tive staff to facilitate daily department functions.
Knowledge/Experience:
Bachelor’s degree in nursing or equivalent experience. 3 â€" 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 maintain case management programs to facilitate the u! se of appropriate medical resources and decrease health plan f! inancial exposure.
- Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.
- Develop staff skills and competencies through training and experience.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Centene Corporation.
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This job starts available on: Sat, 20 Apr 2013 05:45:43 GMT