Manager, Care Management
Company: Centene Corporation
Posted on: November 18, 2023
You could be the one who changes everything for our 28 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
Must live in OklahomaOklahoma Complete Health, a Centene company,
is committed to providing quality healthcare solutions to transform
the health of Oklahomans.
At Oklahoma Complete Health, we are community advocates and
change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level.Position Purpose: Perform duties to
conduct and manage the day to day operations of the care management
functions communicating with departmental and plan administrative
staff to facilitate daily department functions.
- Manage the delivery of services to members, ensuring services
are appropriate and cost effective.
- Ensure compliance with government and company requirements in
the care management department. Develop and implement new
procedures, regulatory filings and manage compliance issues.
- Develop, implement, and oversee care management policies and
procedures and give specific guidance to staff and departments as
- Develop, implement, and maintain care management programs to
facilitate the use of appropriate services and resources in order
to maintain the member in the least restrictive environment.
- Direct the daily activities of care management staff.
Facilitate on-going communication between case management staff,
members, contracted providers, and subsidiaries.
- Develop staff skills and competencies through training and
- Manage resolution of complaints, and assist in audits and
evaluations related to the Long Term Care Program. If necessary,
develop and implement corrective action plans.Education/Experience:
Bachelor's degree in Social Work, Sociology, Psychology, Nursing,
Gerontology, related field or LPN/RN. 6+ of long term care related
experience. Thorough knowledge of case and/or utilization
management. 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: Valid driver's license.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
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.
Keywords: Centene Corporation, Lawton , Manager, Care Management, Executive , Lawton, Oklahoma
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