Spectrum Health Manager, Case & Disease Management - Medicaid (Priority Health) in Holland, Michigan
Facility: Priority Health - HOLLAND, MI
Department: Ph-Case & Dis Mgmt - Medicaid
Classification: Full-time with Benefits (A1)
Provides supervision and leadership to the team of Priority Health Medicaid Care Managers and support staff. Responsible for Medicaid Care Management operations and acts as a resource and consultant to the team to ensure that the goals and standards of the department and Priority Health programs are being met. Provides oversight of processes and procedures to assure that the individual's specific health needs are met to promote the highest quality of care in the most appropriate setting. DIRECTION EXERCISED: Directly supervises local / regional employees. Responsibilities include but are not limited to effective interviewing, hiring and training employees; planning, assigning and directing work, appraising performance; rewarding and counseling employees; addressing complaints and resolution.
Education - Bachelor's Degree in health-related field
Experience - 5 years of experience typically gained through skills/knowledge/abilities in clinical experience in health services setting
Registered Nurse (RN)* Upon Hire
Education - Master's Degree
Experience - 3 years of experience typically gained through skills/knowledge/abilities in managed care and/or case management experience Strong knowledge of management health care Knowledgeable on compliance and regulations as it relates to Case Management Programs
Case Management Certification
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