Manager, Case Management
Location: Bedford New Hampshire
Description: Centene Corporation is at present recruited Manager, Case Management right now, this job will be placed in New Hampshire. Further informations about this job opportunity please read the description below. 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 departmen! t functions.
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.
Qualifications
Knowledge/Experience: Bachelor's degree in nursing or equivalent experience. 3 - 5 years case management experience and recent nursing experience in an acute care set! ting particularly in medical/surgical, pediatrics, or obstetri! cs 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.
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 job, please email us your resume, with salary requirements and a resume to Centene Corporation.
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This job starts available on: Thu, 20 Jun 2013 12:17:46 GMT