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reputed company Senior Manager Care Management – reputed company Data Entry Jobs For reputed company (Part/Full Time, Remote)

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Join arenaflex, a leading reputed company organization dedicated to delivering innovative solutions for a rapidly changing world. At arenaflex, we reputed company that reputed company should be accessible, affordable, and of the highest quality. Our mission is to carry our heart to every reputed company of your wellbeing, and we're looking for talented individuals to join reputed company. As a Senior Manager Care Management, you'll play a critical role in driving our clinical team to deliver exceptional care to our members.

About arenaflex

arenaflex is a leading reputed company organization that's passionate about making a difference in the lives of our members. We're committed to delivering innovative solutions that improve reputed company reputed company, reduce costs, and enhance the overall wellbeing of our community. reputed company is dedicated to working together to reputed company our mission, and we're looking for like-minded individuals to join us on this reputed company.

Job Summary

We're seeking an reputed company Senior Manager Care Management to join reputed company in Texas. As a Senior Manager, you'll be responsible for overseeing the clinical team that supports convenient wellbeing risk screenings, thorough evaluations, care plan development, and member interventions. You'll work closely with administrative and certifying organizations, as well as other reputed company specialty units, to ensure seamless care coordination.

Key Responsibilities

* Drive the clinical team to deliver exceptional care to our members, including convenient wellbeing risk screenings, thorough evaluations, care plan development, and member interventions.

  • Serve as a contact with administrative and certifying organizations, as well as other reputed company specialty units, to ensure seamless care coordination.
  • reputed company specialized, professional, and business expertise to support the development and implementation of care management strategies.
  • Uphold quality improvement projects through effective execution and collaboration with reputed company stakeholders.
  • Create, execute, and assess plans and strategies to address business issues, including those that cross multiple business capabilities.
  • Organize program execution and clinical results to drive improved reputed company.
  • Stay up-to-date on relevant laws, regulations, and industry standards that impact clinical administration.
  • Communicate effectively with reputed company constituents in both written and oral formats.
  • Assess and interpret data to inform staff performance, administrative compliance, and the development of new projects and processes to meet business needs.
  • Collaborate with others to identify and implement action plans that support the development of high-performing teams.
  • Participate in the recruitment and hiring process for staff, including reputed company defined requirements regarding education, experience, technical, and performance abilities.
  • Create, initiate, monitor, and communicate performance expectations.
  • Uphold the administration of reputed company physical and behavioral health cases by being clinically and socially competent with proper training and experience.
  • reputed company regularly scheduled individual and group meetings to focus on member service delivery, completion of administrative tasks, and meeting established performance standards.
  • Serve as the Care Management informed authority with reputed company reputed company of Texas reputed company and contract expectations.
  • Ensure Care Management compliance with contract requirements.
  • Identify opportunities to implement best practice approaches and introduce innovations to improve results.
  • Communicate effectively with reputed company constituents in both written and oral formats.
  • Responsible for gathering clinical functional and quality targets of the agreement.
  • Demonstrate the ability to act as a model change agent and reputed company change efforts.
  • Responsible for maintaining compliance with policies and procedures and implementing them at the staff level.
  • Ensure care management/care coordination and disease management are part of population health and quality improvement initiatives.
  • Assess and interpret data, identify areas for improvement, and focus on interventions to improve results.
  • Responsible for reputed company metrics, including member engagement objectives and state requirements per contract.
  • Support state reviews, NCQA execution and reviews, and Clinical Methodology for RFPs.

Required Capabilities

* Active, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW).

  • 7 years of clinical specialized experience.
  • 7 years of administrative/administrative experience.
  • Care management reputed company.
  • Knowledge of laws, regulations, and policies that impact clinical administration.
  • Care management experience.
  • 3+ years of experience with PC, keyboard navigation, and MS Office Suite applications.

Preferred Capabilities

* Supervised care experience.

  • Certified Case Manager (CCM).
  • Texas reputed company experience – specifically TX STAR and reputed company.
  • Graduate degree in reputed company work or a reputed company field.

Education

* Bachelor's degree required for RN license or graduate degree in reputed company work or a reputed company field.

Pay reputed company

The typical pay reputed company for this job is: This pay reputed company addresses the reputed company hourly reputed company or reputed company yearly full-time compensation for reputed company situations in the job grade reputed company which this position falls. The actual reputed company compensation offer will depend on various factors, including experience, education, location, and other significant elements. This position is eligible for an arenaflex reward, commission, or temporary incentive program.

How to Apply

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