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Director, Case Management (Long Term Care)

Company: Pennsylvania Health & Wellness
Location: Wilmington
Posted on: September 24, 2022

Job Description:

You could be the one who changes everything for our 26million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Define and direct long term care (LTC) case management program in conjunction with corporate goals and objectives.

  • Oversee all related activities for the case management functions
  • Ensure program is providing quality outcomes at reduced costs through meeting targets for the annual operating plan/financial management
  • Manage the delivery of services to members, ensuring services are appropriate and cost effective
  • Ensure compliance with government and company requirements in the case management function
  • Develop and implement new procedures, regulatory filings and manage compliance issues
  • Develop, implement, and oversee case management policies and procedures
  • Develop, implement, and maintain case management programs to facilitate the use of appropriate services and resources in order to maintain memberships Our Comprehensive Benefits Package:
    • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
    • Competitive pay
    • Paid Time Off including paid holidays
    • Health insurance coverage for you and dependents
    • 401(k) and stock purchase plans
    • Tuition reimbursement and best-in-class training and development Education/Experience: Bachelor's degree in Social Work, Sociology, Psychology, Nursing, Gerontology, or related field. 7+ years of case management experience. Thorough knowledge of case and/or utilization management. Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

      License/Certification: Valid driver's license.

      For Delaware only: RN required.

      Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Pennsylvania Health & Wellness, Wilmington , Director, Case Management (Long Term Care), Executive , Wilmington, Delaware

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