Manager, Care Coordination

Location: Detroit, MI
Date Posted: 09-27-2017
Manager, Care Coordination – Detroit, MI
 
Overview
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.

Summary:
 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.  

Qualifications
  • 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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