Manager, Case Management job – Softpath System LLC – Mobile, AL

Manager, Case Management

Softpath System LLC

12 reviews

Mobile, AL

Job Description:

Job Title : Manager, Case Management

Duration : Full time

Location : Mobile AL United States 36695

Essential Functions:

Position Purpose:

  • Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions.
  • Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes.
  • Promote compliance with federal and state regulations and contractual agreements.
  • Develop, implement and maintain compliance with policies and procedures regarding medical case management.
  • Develop, implement, and maintain case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure.
  • Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.
  • Develop staff skills and competencies through training and experience.
  • Qualifications:
  • Education/Experience: Bachelor’s degree in Nursing. 3+ years case management experience and recent nursing experience in an acute care setting particularly in medical/surgical, pediatrics, obstetrics, or care coordination in a behavioral health setting and management experience.
  • Thorough knowledge of case and/or utilization management and clinical nursing.
  • Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP.
  • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
  • License/Certification: Unrestricted RN license in applicable state(s) and valid driver’s license and automobile insurance.
  • Case Management Certification (CCM) preferred.
  • CB #LI-CL1 Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.
  • All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job Type: Full-time

Salary: $0.00 /year

Required education:

Required experience:

Required license or certification:

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12 reviews

Softpath System, LLC is a Minority & Woman owned, award winning provider of recruitment services for IT, Industrial, Engineering,…

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A Computer Programmer whose articles got mentions from the likes of The New York Times, Kissmetrics and AllTopStories. He writes articles, novels and poems; spends most of his time reading everything he could get his hands on. He is currently pursuing his Masters from The University of Illinois and holds a Bachelors in Electronics Engineering from the University of California. He is a programmer, a motivational writer and speaker.

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