Clinical Care Manager
3 weeks ago
This is a remote position.
We are looking for a dedicated and experienced individual for the Clinical Care Manager position. In this role, you will be responsible for implementing, directing, and coordinating the activities of the case managers, ensuring the delivery of high-quality care and services to individuals enrolled in the Pennsylvania Medicaid program.Key Responsibilities:
• Implement, direct, and coordinate the activities of the Case Management Unit.
• Manage and supervise staff engaged in Care/Case Management and operations of the Pennsylvania Medicaid program.
• Oversee workgroups and project teams to achieve program objectives.
• Develop policies and procedures to support the special needs/case management unit based on Case Management Society of America guidelines.
• Train staff in Case Management principles and the availability of state resources.
• Collaborate with other bureaus/contractors to address special needs and ensure continuity of service.
• Evaluate current processes and implement recommended process improvements.
• Consult with senior staff to outline and address major operational issues and develop resolutions.
• Participate in the Quality Improvement Program to continuously improve processes and performance.
Requirements • Active Pennsylvania Nursing License.
• Case Management certification with either the National Academy of Certified Care Managers or American Nurses Credentialing Center.
• Two years’ experience in Care Management.
• Three years’ experience in a supervisory capacity.
• Functional knowledge of Microsoft Office.
• Proficient writing and verbal communication skills.
• Strong understanding of Care Management processes.
• Willingness to travel to meetings, conferences, and sites as needed.
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