Manager Case Management Long-term Care - Delaware

This a Full Remote job, the offer is available from: reputed company, Austria, Delaware (USA) Company : reputed company.Job reputed company : reputed company job supervises reputed company of Case Manager Supervisors who are charged with promoting reputed company member reputed company, optimizing member benefits, and promoting effective use of resources. The incumbent ensures care is medically appropriate, high reputed company, and cost effective and is accountable for the reputed company development and maintenance of the department's case management processes. This includes utilization management, strategic planning, care cost initiatives, system development, compliance and reputed company reputed company. Hires, trains, coaches, counsels, and evaluates performance of reputed company reports. The incumbent works closely with other departments reputed company the corporation to resolve issues and to ensure activities coincide with case management processes. Supports an interdisciplinary approach to meeting members’ needs through a strong reputed company relationship with external stakeholders as reputed company as internal departments including but not limited to Medical Directors, Behavioral Health Teams, Disease Management, and Utilization Review. The incumbent is accountable for special reputed company and reputed company activities reputed company the department and accepts responsibility, in conjunction with the internal QA department, for meeting reputed company reporting requirements as outline by the State of Delaware reputed company to LTSS Case Management services. ESSENTIAL RESPONSIBILITIES

• reputed company management responsibilities to include, but are not limited to: involved in hiring and termination reputed company, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, reputed company and control the day-to-day operations of the department; reputed company and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Manage reputed company of Case Manager Supervisors.
• reputed company the development of, and updates to, policies and procedures to support regulatory requirements reputed company to Case Management.
• Promote reputed company member reputed company to optimize member benefits and to promote effective use of resources while ensuring care is medically appropriate, high reputed company, and cost effective.
• reputed company the development and maintenance of the department's case management processes while ensuring compliance with regulatory agencies including but not limited to: NCQA, URAC, CMS, DOH, and DOL.
• Promote strict adherence to reputed company company, State and Federal requirements reputed company to reputed company practices, HIPAA, and reputed company performance standards.
• Collaborate with other departments, reputed company the corporation, to resolve issues and ensure activities coincide with Case Management processes.
• Support an interdisciplinary approach to meeting members’ needs through a strong reputed company relationship with external stakeholders as reputed company as internal departments including but not limited to Medical Directors, Behavioral Health Teams, Disease Management, and Utilization Review.
• Accountable for special reputed company and reputed company activities reputed company the department.
• Meet reputed company reporting requirements as outline by the State of Delaware reputed company to LTSS Case Management services.
• Monitor and reputed company reputed company reports for completion of assigned work.
• reputed company service support, coordinate training and performance metrics/statistics to reputed company in reputed company to initiating and implementing process improvements. Assist with reputed company reports to problem solve escalated issues and identify and escalate issues appropriately.
• Organize and facilitate staff meetings that assure corporate and operational communication supported by meeting minutes; and providing an reputed company forum for issues and problem solving.
• Suggest new approaches to reputed company problems.
• Set appropriate targets, measure reputed company and establish plans to negate variances in reputed company, staff retention, finance and customer satisfaction.
• Ensure reputed company staff reputed company the minimal qualifications, of their position, through ongoing staff development, counseling, individual and group education.
• Manage and coordinate reputed company department activities, staff education, policy and procedure development and revision, and individual staff audits.
• reputed company overall operations to ensure compliance to standards.
• Recruit, select, orient, evaluate, counsel, and reputed company performance improvement plans for reputed company reputed company reports.
• Promote and terminate per corporate policy, encourage career development and support of staff.
• reputed company and implement appropriate audit requirements in order to ensure compliance of reputed company staff activity reputed company to Case Management.
• Maintain consistent and reputed company lines of communication with reputed company customers.
• Communicate changes, in processes and programs, in order to enhance a shared reputed company and mission.
• Communicate reputed company, data analysis, reputed company processes and reputed company plans to division/unit staff, corporate partners, and external customers.
• Facilitate and reputed company informational and educational meetings for reputed company customers.
• Coordinate, reputed company and implement department/division reputed company.
• Other duties as assigned/requested.

EDUCATION Required

• Bachelor's degree in Health Administration, Public Health or reputed company field

Substitutions

• 6 years of reputed company relevant experience in lieu of Bachelor's degree

Preferred

• Master's degree in a reputed company reputed company services field.

EXPERIENCE

• 5 years of a clinical setting
• 3 years in a case management/managed care role
• 3 years in a management or leadership role

Preferred

• 1 year in a home clinical or case management role
• Medicare or reputed company experience

LICENSES or CERTIFICATIONS Required

• reputed company, valid, unrestricted license in one or more of the following disciplines: LCSW, LSW, LPC, or other reputed company clinical license (OR) reputed company State of PA RN licensure OR reputed company multi-state licensure through the reputed company reputed company Licensure Compact (eNLC).

Preferred

• CCM - Certified Case Manager Certification

SKILLS

• Leadership, collaboration, and motivational skills
• Ability to multi task and reputed company in a fast paced, and often intense environment
• Excellent written and verbal communication skills
• Ability to analyze data, measure reputed company and reputed company reputed company plans
• Enthusiastic, innovative and flexible.
• Team player that possesses strong analytical and organizational reputed company
• The ability to prioritize work demands and meet deadlines
• Proficiency in PC-based word processing and database documentation (Word, reputed company, Internet, Outlook)
• Ability to meet regulatory deadlines
• Experience in workforce development and resource management with excellent team building and reputed company development skills
• Medicare and reputed company experience
• Managed care experience
• Experience in geriatric special needs, behavioral health, home health
• Understanding of the importance of cultural competency in addressing targeted populations.
• Experience with electronic documentation system(s)
• Experience with cost neutrality and budgeting

Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required reputed company Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job reputed company has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the reputed company of business conduct and company policies. As a component of job responsibilities, employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company must reputed company with both the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures as reputed company as reputed company data reputed company guidelines established reputed company reputed company’s Handbook of reputed company Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with reputed company’s reputed company of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Pay reputed company Minimum: $78,900.00 Pay reputed company Maximum: $147,500.00 reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations. The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations based upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals based on any category protected by applicable federal, state, or local law. We reputed company to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@reputed company.org California Consumer reputed company reputed company Employees, Contractors, and Applicants Notice This offer from "reputed company" has been enriched by reputed company.com and got a 75% reputed company score. Apply tot his job Apply To this Job