MLTC Care Coordination Manager (VNSHealth)
Job posting number: #148460 (Ref:R011577)
Job Description
Overview
Leads a team to achieve excellence in the daily operations of care coordination with a focus on quality, compliance, and member outcomes. You’ll provide coaching and unwavering support for the care management team, adeptly addressing problems, resolving issues, and navigating regulatory and service-related changes. Manages and coordinates the activities of the VNS Health Plans Care Coordination team to ensure member care coordination provided is consistent with Enterprise mission and strategic goals. Partners across the organization to achieve goals and provide each member with comprehensive, community-based care services.What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth, career advancement and CEU credits
What You Will Do
Leads a team of about 15 staff and manages the day-to-day operations that contribute to comprehensive home and community-based care services in accordance with clinical practice standards, state, and federal regulations.
Collaborates across multiple departments to achieve quality care, compliance, and member outcomes.
Uses software systems including Excel dashboards to manage processes, data, and performance metrics.
Coaches team members on productivity and performance, fosters collaboration and decision making.
Masters a varying compliance environment to ensure that all policies and guidelines are adhered to.
Develops and implements process improvement plans.
Qualifications
Licenses and Certifications:
License and current registration to practice as a Registered Professional Nurse in the state of New York, required
Education:
Bachelor's Degree in nursing required or
Master's Degree in Social Work required
Work Experience:
Minimum five years of experience in home care, care management or related field, required
Minimum of two years progressive experience in clinical management, required
Demonstrated knowledge of NYS regulations regarding Medicare or Medicaid Managed Long Term Care health plans, preferred
Experience in a managed care environment, preferred
Experience in excel, preferred