Corporate Director of Case Management and Contracting

2 weeks ago

Orlando, United States The Avante Group Full time
Are you looking for a great career opportunity to gain invaluable experience? We invite you to join our dedicated team We are currently looking for a Corporate Director of Case Management and Contracting to join our team.

At our company, YOU are our greatest asset We offer Corporate Director of Case Management and Contractingthe following benefits:
  • Competitive wage
  • Affordable Health Plan (Medical, Dental, Vison and Life insurance available)
  • Great culture and work environment
  • 401k (Matching)
  • Flexible Scheduling - We work with you
  • Daily Pay option
  • Plus, more
Key Responsibilities:
  • Program Oversight: Develop, implement, and manage comprehensive case management programs to ensure efficient patient care, optimal resource utilization, and compliance with regulatory standards.
  • Staff Management: Lead and supervise the case management team, including hiring, training, performance evaluations, and providing ongoing support and guidance.
  • Patient Care Coordination: Ensure that patients receive appropriate and timely care by coordinating with healthcare providers, social services, and other relevant parties.
  • Contract Management: Oversee the negotiation, execution, and management of contracts with healthcare providers, vendors, and other partners to ensure favorable terms and compliance with organizational policies.
  • Policy Development: Establish and maintain policies and procedures related to case management and contracting to ensure best practices and regulatory compliance.
  • Quality Improvement: Monitor and evaluate the effectiveness of case management services and contractual agreements, identifying areas for improvement and implementing necessary changes.
  • Budget Management: Develop and manage the budget for the case management and contracting departments, ensuring cost-effective operations.
  • Compliance and Reporting: Ensure compliance with healthcare regulations and standards, and prepare necessary reports for internal and external stakeholders.
  • Collaboration: Work closely with other departments, such as nursing, social work, and medical staff, to facilitate comprehensive patient care and effective contract management.
  • Data Analysis: Utilize data and analytics to track patient outcomes, program effectiveness, contract performance, and identify trends or areas for improvement.
Qualifications:
  • Bachelor's degree in Healthcare Administration, Nursing, Business, or a related field (Master's degree preferred).
  • RN License Preferred
  • Minimum of 7-10 years of experience in case management and contract management within a healthcare setting.
  • Proven leadership experience with the ability to manage and motivate a diverse team.
  • Strong understanding of healthcare regulations, standards, and best practices.
  • Excellent negotiation, communication, and interpersonal skills.
  • Analytical and strategic thinking skills with the ability to make data-driven decisions.
  • Ability to work collaboratively across departments and with external partners.
  • Proficiency in healthcare management software and tools.

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