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Service Coordinator Manager
3 months ago
JOB SUMMARY
The Service Coordinator Manager will be responsible for the oversight of the daily operations and coordination related to the activities assigned to Service Coordination staff including daily team operations, internal and external departmental relations, and recruitment/evaluation of staff. The Service Coordinator Manager oversee the infrastructure that coordinates necessary resources for members. The candidate compiles and reviews multiple reports on work function activities for statistical purposes, financial tracking purposes and for process improvement to identify trends, assist in financial forecasting, and make recommendations to leadership. The Service Coordinator Manager will develop and implement appropriate policies and procedures; ensure staff are able to facilitate member and provider needs through entire case management cycle.
JOB SPECIFICATIONS AND CORE COMPETENCIES
Essential Functions
Primary Responsibilities:
Community Health Choice's Core Competencies
Customer Focus
Reliability and Dependability
Honest and Integrity
Change Management
Team Work
Impact/Influence + Strategic Vision
People/Team Development
Marginal Functions
Other duties as assigned.
MINIMUM QUALIFICATIONS:
Education/Specialized Training/Licensure:
Associate degree in Nursing required.
TX License in good standing; active and unrestricted required.
Bachelors or Masters Degree in Business, Healthcare, or related field preferred.
CCM Certification preferred.
RUG Certified preferred.
Work Experience (Years and Area):
Required:
7+ years in healthcare, with at least 2 years experience in Managed Care.
Writing/composing correspondence/reports.
Analytical, Medical Terminology, MS Word, MS Excel.
Knowledge of Medicare and Medicaid.
Preferred:
10+ years of managed healthcare experience.
3+ years of experience working with STAR Plus members.
Experience with line management responsibility including clinical operations. Operational and process improvement experience.
Management Experience (Years and Area): 3-5 years of management or supervisory experience in a managed care setting required.
5+ years of management or supervisory experience in a managed care setting preferred.
STAR Plus supervisory or management experience preferred.
Software Proficiencies:
Personal Computer, Microsoft Office, Clinical Documentation Platforms required.
Altruista, Tableau, Power BI, ServiceNow, QNXT, Microsoft Teams preferred.
Other:
Local travel required
Reliable transportation with valid driver¿s license with good driving record required.