RN Team Lead

1 week ago


New York, New York, United States RCM Health Care Services Full time
Job Title: RN Team Leader for Medicaid Care Management

A well-established and respected health plan, dedicated to fostering strong relationships with its members and providers, is seeking a skilled RN Team Leader to lead its Medicaid Care Management team.

About the Role:
  • Oversee Medicaid team operations, ensuring adherence to contractual requirements and quality outcomes.
  • Provide clinical supervision and guidance to Care Managers and support staff.
  • Manage care management workflows, including referrals, interventions, and documentation.
  • Conduct quality reviews, track performance metrics, and implement improvement strategies.
  • Coordinate interdisciplinary team meetings and collaborate with Behavioral Health.
  • Resolve operational issues and ensure compliance with policies and procedures.
  • Lead staff training and development efforts.
Key Responsibilities:
  • Develop and implement care management strategies to improve patient outcomes.
  • Collaborate with cross-functional teams to ensure seamless care coordination.
  • Monitor and analyze performance metrics to identify areas for improvement.
  • Provide coaching and mentoring to Care Managers to enhance their skills and knowledge.
  • Stay up-to-date with industry trends and best practices in care management.
Requirements:
  • Bachelor's Degree required; Master's preferred.
  • 5+ years of Care Management experience in healthcare or Managed Care.
  • 2+ years of leadership experience in Managed Care or healthcare.
  • Proficiency in Microsoft Office and navigating healthcare systems.
  • Current NY State RN license required.
Benefits:
  • Competitive salary range: $105,000 to $115,000 per year.
  • Excellent benefits package, including 401(k) matching, dental insurance, disability insurance, health insurance, life insurance, paid sick time, paid time off, and vision insurance.
About Our Company:

We are a well-established and respected health plan dedicated to fostering strong relationships with our members and providers to help New Yorkers achieve their healthiest lives.


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