Program Manager- Managed Care Services

Thomas Allen Inc.•Burnsville, MN

1d•Onsite

About The Position

As the Program Manager in Managed Care, you will be the primary contact for contract representatives and should ensure high-quality services are provided in accordance with Lead Agency and DHS expectations. You will also be responsible for case assignment, hiring, training, and direct supervision of contracted care coordinators.

Requirements

At least 2 years of professional full-time Care Coordination/Case Management experience or in a related position AND at least 3 years of human services experience
A bachelor's degree (at minimum) with a major in social work, psychology, sociology, or a closely related field (such as occupational therapy, physical therapy, speech-language pathology, audiology, recreational therapy, dietician, special education, rehabilitation counseling, nursing, human services)
If Degree is in Social Work, license in MN must be active.
If Degree is in Nursing, RN status must be active. Public Health Nurse accepted.
Must be at least 18 years of age.
Valid driver's license, reliable vehicle for work purposes, acceptable driving record, and proof of auto insurance.
Excellent written and verbal communication skills in English.
Passing all background and requirements for facility and position; and
The ability to pass the screening required by Federal Human Services Office of Inspector General to assure that person has not been excluded from working in the Health Care Programs which receive federal funding.

Nice To Haves

Bachelor's degree or higher in Social Work with Active Social Work License.
Care Coordinator experience with a health plan.
Previous supervisory experience in the social services field.
Knowledge of MA, Medicare, and MN Healthcare programs.
Familiarity with community resources and providers.
Strong organizational skills and attention to detail.
Proficiency in computer basics and familiarity with the Microsoft Office suite.

Responsibilities

Recruitment and ensuring employees receive all required orientation information
Provide ongoing support, guidance, training, and supervision to direct reports and others as needed
Evaluate employee performance and provide development and guidance as needed
Support a culture of transparency and equity in accountability for all team members
Ensure all paperwork and records are accurate and in compliance with regulations and meet our standard of care
Manage the referral process and support a smooth transition and exceptional customer service experience for new individuals served and their care teams.
Conduct quality assurance audits and assist with surveys
Communicate with lead agencies and county representatives and ensure positive outcomes and collaborative problem-solving.

Benefits

7 Paid Holidays: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas Day, and one Floating Holiday to use when it matters most to you!
Paid Leave = Paid vacation time off to help you recharge and maintain work-life balance & Earned Sick and Safe Time (ESST)
Comprehensive medical, dental, vision, disability, and life insurance coverage
Health Savings Account (HSA), Flexible Spending Account (FSA), and Dependent Care Account (DCA) options to help you manage healthcare expenses
401(k) program to help you plan for your financial future
Mileage reimbursement for work-related travel
Paid training and certifications to help you develop new skills and advance your career
Employee appreciation programs to recognize your contributions and efforts
Mental health support to prioritize your well-being
Opportunities for career advancement and growth to help you achieve your professional goals