Manager, Case Management

Company Name:
## 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: 006K1

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Utilization Management Nurse 2 - Metairie, LA ...
Metairie, LA Humana
RN Manager Inpatient Rehab
New Orleans, LA Tulane Medical Center
Interventional Pain Management Physician
Lake Charles, LA Barton Associates