RN Manager of Case Management

Job Description

• 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

Main qualifications:

• RN license

• Bachelors Degree or equivalent (BS "equivalent" would mean at least 4 years of experience)

• 3-7 years of case management experience

• Experience in an acute care setting (hospital, med/surge)

• Management experience (progressive discipline, workflows, productivity reports, team building, reviews, hiring/firing)

• Needs to be organized

• Must have good computer skills - Excel, Outlook, etc

 Soft skills needed - these are crucial:

• Needs to be able to kindly keep a team on track - must be both firm and kind.

• Not looking for a "task master" but need to be comfortable redirecting people.

• The Directors in this department are direct, but polite and fair & that's what they're looking for in their managers.

 Preferred but not required:

• CM Certification

• Managed Care experience

Additional Information

 Interested in hearing more about this great opportunity? Please click Apply or call Ashley Greene  at 407-478-0332 Ext. 169

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!