Manager, Care Management - Mom & Baby Must reside in Nevada

Job Summary :

The Manager, Care Management provides operational management and oversight for providing CareSource members with the right care at the right place at the right time and assisting them to achieve optimal clinical, financial, and quality of life outcomes.

Essential Functions :

• Oversee a team of clinical and nonclinical staff to achieve quality service level and production expectations
• Facilitate / promote problem identification, analysis and resolution to improve member experience, ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Care Model.
• Manages and evaluates team member performance; provides coaching, counseling, employee development, and recognition; ensures ongoing, appropriate staff training; and has responsibility for the selection, orientation and mentoring of new staff.
• Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators.
• Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends enhancements / improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines
• Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate, while identifying opportunities for improvement.
• Utilize available tools / platforms for efficiencies
• Understand the mission and ensure alignment of compliance-based activity in strategic planning / department goal-setting and regional market support
• Assist in new market development and implementation of department initiatives
• Perform any other job duties as requested

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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