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Supervisor, Service Coordination

Company: Centene Coproration
Location: Harrisburg
Posted on: September 13, 2019

Job Description:

Description: Position Purpose: Supervise the day to day operations of the service coordination function. Communicate with departmental and plan administrative staff to facilitate daily department functions. Provide direct supervision of service coordination staff, including hiring, training, evaluation, development and performance management Monitor and direct workflow to ensure timely and accurate processing to meet organizational objectives and contractual requirements Develop policies and procedures to improve efficiencies and to support new contracts or programs Create and monitor reports as required for process control and effective provision of care Promote and demonstrate person centered, person focused delivery of care Assure compliance with established onsite and concurrent review, service coordination, referral, precertification and authorization policies, procedures, and processes Assure compliance with emergency management policies, procedures, and processes Facilitate on-going communication between service coordination staff, utilization management staff, and contracted providers Develop staff skills and competencies through training and experience, including field supervision Perform departmental quality audits for team members and educate team regarding process and workflow improvement Participate in case reviews Assure service coordination functions and responsibilities are coordinated with other operating departments of the plan and Corporate Assist senior management with statistical analysis of data and provide input regarding processes and gaps in performance related work volumes and staffing Act as a resource for appeals Participate in NCQA accreditation/distinction Promote external partnerships and collaboration with both internal and external providers

Keywords: Centene Coproration, Harrisburg , Supervisor, Service Coordination, Other , Harrisburg, Pennsylvania

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