Director, Care Management

16 hours ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.This range is provided by Centene Corporation. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.Base pay range$130,000.00/yr - $250,000.00/yrDirect message the job poster from Centene CorporationPosition Purpose: Directs the long-term care of members to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.Leads long-term care management and care management team on performance, improvement, and career growth path considerationsLeads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standardsOversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needsMonitors, reviews, and signs off on contract required reporting as requiredVendor oversight as required and applicable to the roleAttends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicableLeads and presents process improvements for the long-term care management team to achieve cost-effective healthcare resultsLeads and coordinates large or special project work with other departmental functionsDirects and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectivesReviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as requiredContributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality careDevelops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectivesProvides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality careMay develop department budget while collaborating inter-departmentally and with senior leadershipMay develop or contribute to developing the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliancePerforms other duties as assignedComplies with all policies and standardsEducation/Experience: Requires a Bachelor's degree and 7+ years of related experience, including prior management experience, or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Strongly Preferred Experience:Managerial experience leading start up programs and dynamic teams that focuses on closing health care gaps for patients and familiesExperience managing clinical managers, supervisors, and clinical staff on Behavioral Health LTSS ServicesStrategic Advisor/Consultative, Emotional Intelligence, Communication, Coaching/Training, and Organizational skills are highly critical in this roleAdvanced clinical knowledge and experience assessing children and young adults (up through age 20) with disabilities in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks of complications is preferred.Experience with Medicare, Medicaid or Marketplace insurance practices and regulations is preferredApplicants must physically reside in the state of TexasPay Range: $131,100.00 - $242,500.00 per yearSeniority levelSeniority levelDirectorEmployment typeEmployment typeFull-timeJob functionJob functionManagementIndustriesHospitals and Health CareReferrals increase your chances of interviewing at Centene Corporation by 2xSign in to set job alerts for “Director of Care” roles.Regional Director Food & Nutrition ServicesDallas, TX $120,000.00-$155,000.00 2 days agoDirector of Healthcare Administrative ServicesHospital Director of Operations, Veterinary MedicineStafford, TX $110,000.00-$130,000.00 2 weeks agoChief Executive Officer (CEO) - Longview, TXExecutive Director - Assisted Living FacilityDirector of Outpatient & Clinical Support ServicesDirector of Health Services - Isle at Cedar RidgeAustin, TX $7,015.16-$11,864.50 3 days agoDirector of Outpatient & Clinical Support ServicesAbilene, TX $132,600.00-$192,225.00 2 days agoRegional Director of Operations- Medication Assisted TreatmentHospice Executive Director (Administrator)Austin, TX $120,000.00-$140,000.00 1 week agoVice President of Hospice Services (17831)Houston, TX $150,160.00-$225,700.00 6 days agoRegional Director of Operations- Dallas/Fort WorthWe’re unlocking community knowledge in a new way. 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