Care Management Director
23 hours ago
Join Centene Corporation, a leading healthcare company, as a Care Management Director. In this role, you will oversee the care management team and coordinate behavioral health services for our members. Your goal will be to develop and assess high-quality, cost-effective healthcare outcomes related to mental and behavioral health needs.
Key Responsibilities:- Manage the care management team and coordinate behavioral health services for our members.
- Develop and assess high-quality, cost-effective healthcare outcomes related to mental and behavioral health needs.
- Oversee and review care management required documentation to maintain compliance with federal and state regulations and contractual agreements.
- Develop, implement, and oversee care management policies and procedures within the care management team based on regulatory requirements and industry standards.
- Direct the daily activities of care management staff, including reviewing and approving caseloads based on state requirements, care management staff experience, and member needs.
- Manage escalated and complex care cases, and provide guidance to team members to address member concerns related to mental and behavioral health members.
- Manage resolutions of complaints and assist in audits and evaluations related to care programs.
- Develop, implement, and oversee care management programs to facilitate the use of appropriate services and resources.
- Set goals and objectives for the care management team to achieve cost-effective healthcare results.
- Work with care management senior management to provide updates and insights on care management team goals.
- Provide feedback to the care management team to improve member and provider experience and high-quality care.
- Educate and provide resources for the care management team on key initiatives and member outreach to facilitate ongoing communication between the care management team, members, and providers.
- Assist care management senior leadership with onboarding, hiring, and training new care management employees, recent promotes, and transfers within the department.
- Master's degree or graduate from an accredited school of nursing.
- 5+ years of related experience.
- Licensed Clinical Behavioral Health Professional or RN based on state contract requirements.
- Or associated license working towards full licensure required.
Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules.
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Care Management Director
16 hours ago
Olympia, Washington, United States Centene Corporation Full timeJob Title: Care Management DirectorJoin Centene Corporation, a leading healthcare company, as a Care Management Director. In this role, you will oversee the care management team and coordinate behavioral health services to achieve high-quality, cost-effective healthcare outcomes.Key Responsibilities:Manage the care management team and ensure compliance with...
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Assistant Community Director Position
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Assistant Community Director
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Assistant Community Director Position
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