Contact info: (866) 371-0687, info@mmsgrouponline.com

SUPERVISOR, Case Management

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Location
Boston, MA
Salary
$75,000 - $90,000
Job Type
Direct Hire
Degree
Bachelor
Date
May 25, 2017
Job ID
2444163
SUPERVISOR, CM

Growing health plan is adding a “hands on” supervisor to engage and motivate the CM team.
Running the daily operations of the CM department will include :
-  Ensure appropriate usage of resources in order to facilitate the CM process
-  Ensure compliance within applicable state program guidelines
-  Evaluate compliance policies and procedures and analyze/recommend enhancements
-  Assist with ensuring consistent data collection from CM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements
-  Identify opportunities for process improvements necessary to facilitate department functions
-  Educate staff as necessary to ensure consistent performance and adhere to standards
-  Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary
Qualifications:

- 3+ years of utilization management/quality improvement experience.
- Working knowledge and understanding of basic utilization management and quality improvement concepts. -  Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

-License/Certification: Current state's RN license.