RN Manager of Case Management
- 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.
- 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.
Main qualifications:
- RN license
- Bachelors Degree or equivalent (BS "equivalent" would mean at least 4 years of experience)
- 3-7 years of case management experience
- Experience in an acute care setting (hospital, med/surge)
- Management experience (progressive discipline, workflows, productivity reports, team building, reviews, hiring/firing)
- Needs to be organized
- Must have good computer skills - Excel, Outlook, etc
Soft skills needed - these are crucial:
- Needs to be able to kindly keep a team on track - must be both firm and kind.
- Not looking for a "task master" but need to be comfortable redirecting people.
- The Directors in this department are direct, but polite and fair & that's what they're looking for in their managers.
Preferred but not required:
- CM Certification
- Managed Care experience
Interested in hearing more about this great opportunity? Please click Apply or call Ashley Greene at 407-478-0332 Ext. 169