Manager, Case Management
Company Name:
Centene
## Description
Lafayette, Louisiana
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.
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 nursing, Louisiana State RN License. 6
of long term care related 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.
Licenses/Certifications: Current registered nurse in applicable state(s) and state driver's license and automobile insurance. Case Management Certification (CCM) preferred.
## Job
Job: Nursing
Primary Location: USA-Louisiana-Lafayette
Organization: LA Healthcare Connections
Schedule: Full-time
Req ID: 006K1Estimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Lafayette, Louisiana
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.
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 nursing, Louisiana State RN License. 6
of long term care related 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.
Licenses/Certifications: Current registered nurse in applicable state(s) and state driver's license and automobile insurance. Case Management Certification (CCM) preferred.
## Job
Job: Nursing
Primary Location: USA-Louisiana-Lafayette
Organization: LA Healthcare Connections
Schedule: Full-time
Req ID: 006K1Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
