HarrisburgRecruiter Since 2001
the smart solution for Harrisburg jobs

Supervisor, Case Management

Company: Centene
Location: Harrisburg
Posted on: December 4, 2019

Job Description:

Supervisor, Case Management Position Purpose: Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions. Assure compliance with established referral, pre-certification and authorization policies, procedures and processes by related Medical Services staff. Assure compliance with established onsite and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes. Assure compliance with emergency management policies, procedures and processes. Facilitate on-going communication between case management staff, utilization management staff and contracted providers. Assist with the implementation of policies and procedures regarding medical case management. Maintain compliance with federal and state regulations and contractual agreements. Coordinate and communicate medical service functions with other departmental functions. Act as medical resource for appeals function. Assist Medical Services staff with computer systems issues related to case management. Conduct telephonic review of cases with doctors, hospitals, and other providers. Compile and review multiple reports for statistical and financial tracking purposes to identify case management trends and assist in financial forecasting. Education/Experience: 3+ years of nursing experience in an acute care setting particularly in a medical/surgical, pediatrics, or obstetrics environment. 1+ year of case and/or utilization management experience. Working knowledge of a specialized or technical field such as clinical nursing, case and/or utilization management. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects. Data management experience preferred. License/Certification: Valid driver's license. Current state's RN license. Clinical & Nursing USA-Pennsylvania-Harrisburg Pennsylvania Health & Wellness Full-time

Keywords: Centene, Harrisburg , Supervisor, Case Management, Executive , Harrisburg, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Project/Data Management Specialist with Secret Clearance with Security Clearance
Description: The PM will be responsible for the oversight, management, modernization, development, and implementation of the data center enterprise Data Center Infrastructure Management DCIM solutions. The work (more...)
Company: NTT DATA Federal Services, Inc
Location: Sterling
Posted on: 12/14/2019

Project Manager
Description: Job Title Project Manager Date Posted 10/30/2019 Location Harrisburg, PA Position Id EB- Job Description Strategic Resources, Inc. SRI is an international, ISO 9001:2015 Certified, CMMI Level (more...)
Company: Strategic Resources Inc (SRI)
Location: Harrisburg
Posted on: 12/14/2019

Director Mkting & Capture Mgmt
Description: Job Level: Management Level 7 Job Function: This position reports directly to the Vice President of Strategic Planning and Business Development and is a member of the Senior Leadership Team SLT . The (more...)
Company: Quantech Services
Location: Chantilly
Posted on: 12/14/2019


Emergency Management Coordinator
Description: Salary/Rate N/A Permanent Location Chantilly, VA, United States Posted By Wood. Date Posted 3 weeks ago Expires 15 Dec 2019 Qualifications None Emergency Management Coordinator in Chantilly, VA, United (more...)
Company: Wood
Location: Chantilly
Posted on: 12/14/2019

Identity Management Analyst with Security Clearance
Description: The candidate will need a strong knowledge of Public Key Infrastructure PKI and Certificate Authorities CA . DEA needs to update their current CA infrastructure from MS Server 2008. One of the responsibilities (more...)
Company: INTERNETWORK CONSULTING SERVICES LLC
Location: Sterling
Posted on: 12/14/2019

Financial Reporting Manager
Description: Eurofins NSC US, a national service center serving the US entities of Eurofins Scientific, is searching for a Financial Reporting Manager in Lancaster, PA. br br Financial Reporting Manager responsibilities (more...)
Company: Eurofins
Location: Lancaster
Posted on: 12/14/2019

Infantryman - Management Training
Description: Company: Army National Guard Contact: Post Date: 12/08/19 Phone: Job Type: Part Time Fax: Reference: VAQNGVo3Ou Mailing Address: AGE REQUIREMENTS: Must be between the ages of 17 and 35The Infantry is (more...)
Company: Army National Guard
Location: Leesburg
Posted on: 12/14/2019

Project Manager with TS/SCI with Poly
Description: Description Job Description: This position will support the Program Manager. Duties will include: personnel staffing job req management, staffing calls, interviews personnel management support time (more...)
Company: Leidos
Location: Chantilly
Posted on: 12/14/2019

Organizational Change Management Consultant
Description: OVERVIEW br br Design. Disrupt. Repeat. br br Be an agent of change on a team committed to achieving client-focused, mission-driven excellence. Steampunk is looking for an experienced Organizational (more...)
Company: SE Solutions
Location: Reston
Posted on: 12/14/2019

Inventory Control Clerk
Description: Adecco is assisting a local client recruiting for a current Inventory Control Clerk job in Chantilly, Va. This is a temp-permanent opportunity. As a Custodian you will maintain and dispense paper inventory (more...)
Company:
Location: Chantilly
Posted on: 12/14/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Harrisburg RSS job feeds