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Senior Manager, Case Management (90 / Yr)
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- Position Purpose: Conduct and manage the daily operations of the case management function
- Ensure successful transition of care for members from case management to the utilization management
- Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes.
- Develop, implement, and maintain case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure
- Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
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