National health plan is looking for an experienced, managed care complex case manager director.

Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives.

  • Direct the overall operational leadership of case management functions and staff
  • Perform and oversee needs analysis and planning
  • Work with executive leadership to ensure targets are met for the annual operating plan/financial management
  • Ensure compliance with Corporate, State and NCQA standards
  • Develop and implement methods, policies and procedures to improve the departments efficiency and effectiveness

 

Qualifications:

  • Bachelor’s degree in Nursing or related field.
  • At least 5 years of work experience in managed care and acute care settings with complex case management.
  • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

 

 

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