Manager, Care Coordination

Location: Detroit, MI
Date Posted: 09-27-2017
Manager, Care Coordination – Detroit, MI
Our client delivers comprehensive care to Medicare, Medicaid, and complex-needs patients. For over a decade, they have provided extraordinary outcomes for thousands of people in these underserved groups.

 The Manager, Care Coordination, is responsible for the oversight, management and optimization of all care coordination activities as it relates to pre-admission, ambulatory case management, inpatient, social service, home health, health education, behavioral health and other health care delivery programs. Manages staff directly and is responsible for the day-to-day operations of the care management program.  

  • Manage and mentor staff to meet departmental goals; may include Care Managers, Social Workers, and Navigators.
  • Manage schedules and resourcing to ensure proper coverage and staffing ratios to support the Care Coordination practice models
  • Subject matter expert in program requirements and Model of Care contracts
  • Provides guidance to staff for interpretation of program requirements and works collaboratively with Director to develop business support tools for front-line staff
  • Gather and analyze program data and implement action plans that result in measurable outcomes.
  • Manage and supports the on-going person-centered planning process.
  • Monitors risk assessments for completion by Care Managers within the required timeframe.
  • Confirms that the enrollee’s preferences and goals are honored through auditing efforts.
  • Ensures that that Care Managers provides the enrollee with any necessary assistance and accommodations to prepare for and fully participate in the care planning process.
  • Conducts staff meetings, assuring policy and procedures are adhered to and when necessary, modified to address changing strategic objectives.
  • Responsible for orientation of new staff, on-going training, mentoring, and performance reviews.
  • Acts as a change agent for implementation of modifications to the program and daily requirements
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