Upvote
Downvote
Director of Care Management
Share Job
- Suggest Revision
Full-time
- These plans are crucial in aligning the Health Plan and Nascentia Health’s overall strategic goals, and the Director ensures their successful implementation within the business units to support the growth and profitability of the plan.
- Participates in developing, revising, and implementing care management policies and procedures to ensure alignment between processes and Federal and NYS health plan regulations.
- Provides oversight of care management functions delegated to vendors, including, but not limited to, UAS-NY assessment completion, care management, quality, and utilization metrics.
- An experienced Current New York State Licensed Social Work or RN with a Managed Care Plan background, experience in MLTC and/or Medicare Advantage Plans, with an emphasis on Care/Case Management, strong understanding of UAS-NY assessments and manager-level experience.
- Proficient computer skills (including knowledge of electronic medical records software) with the ability to learn new software.
Active Job
Updated 1 month agoSimilar Job
Relevance
Active