Supervises, instructs and guides clinical and non-clinical staff in the care management of at risk patients. Responsible for day-to-day oversight of the Care Managers and coordination of necessary resources. This may include adequate clinical, behavioral, acute/chronic, and social care services. Ensure staff is able to facilitate member and provider needs through entire care management cycle. Partner with internal staff on key initiatives and outreach for members as needed. Coordinate and communicate on access issues, assessments, internal protocols. Implement policies and procedures through oversight for complex cases and present to management. Coordinate the training of care management staff. Facilitate on-going communication between care management staff and providers. Assign cases and oversee care management caseloads including service care plan approval and member case file reviews. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
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Job Type
Full-time
Career Level
Manager