Manager, Case Management
Location: Bedford New Hampshire
Description: Centene Corporation is hiring Manager, Case Management right now, this vacancy will be placed in New Hampshire. More details about this vacancy opportunity kindly 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 administrative 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 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.
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Centene Corporation.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Sat, 20 Apr 2013 05:45:43 GMT