Spectrum Health Manager, Case & Disease Management - Medicaid (Priority Health) in Holland, Michigan

Facility: Priority Health - HOLLAND, MI

Department: Ph-Case & Dis Mgmt - Medicaid

Category: Leadership/Management

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.

Basic Qualifications:

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

Licenses -

Registered Nurse (RN)* Upon Hire

Preferred Qualifications:

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

Licenses -

Case Management Certification

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category.