Manager of Clinical Care Coordination - Remote in MO
About The Position
The Manager of Clinical Care Coordination will lead an ER Diversion, Lock-in, and Lead Teams while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The Manager will manage a program, region, or collection of Pod teams, including process improvement, execution of clinical decision processes, and team management, to include performance management and implementation of program initiatives. If you are located in the state of Missouri, you will have the flexibility to work remotely as you take on some tough challenges. St. Louis, MO residents are required to work hybrid 3xs week onsite at the Maryland Heights, MO office.
Requirements
- Current, unrestricted independent licensure as a Registered Nurse or a Social Worker for the state of Missouri
- 3+ years of clinical experience
- 1+ years of leadership experience with responsibility for team performance
- Intermediate MS Office skills, including Word, Excel, Outlook, and PowerPoint
- Valid driver’s license, reliable transportation and the ability to travel up to 25%25 within assigned territory to meet with employees, members, and providers
- Reside in Missouri
Nice To Haves
- 1+ years of experience working with people receiving services on one of the home and community-based waivers in MO
Responsibilities
- Hire, manage, develop, mentor and support staff in designated department or region
- Develop clear goals and objectives for performance management, effectively communicate expectations, and hold the team accountable for results
- Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
- Review data and facts to identify and solve issues, mitigate risks, prioritize teams’ workloads, and assign direction for ad hoc projects needed
- Ensure standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
- Acts as interface with other departments to coordinate workflow processes and implementation plans
- Resolve inpatient and outpatient provider authorizations and collaborate with Provider relations to assist in Provider resolutions
- Carry member case load as needed
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
