Hub Manager Care Coordination - Remote Position

Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including care coordination and intensive care management staff, providing expertise in designated programs. Essential Job Functions
  • Assists clinical coordination in the development and on-going management of designated staff.
  • Performs care coordination review activities consistent with Magellan policies, procedures, and standards.
  • Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided.
  • Regularly monitors the performance of care coordination staff.  Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics.
  • Supervises care coordination staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary.
  • Coordinates quality improvement activities under the direction of clinical management.
  • Assists management in the development of strategic and operational goals and plans.
  • Assists management in the identification and coordination of the necessary clinical and client service training needs.
  • Supervises the collection of pertinent clinical information while maintaining a good rapport and relationship with providers.
Requirements:
  • Bachelor degree in Nursing with current RN license or Master's degree and one of the following licenses: LCSW - Licensed Clinical Social Worker, LMSW - Licensed Master Social Worker, LPCC - Licensed Professional Clinical Counselor, LPC - Licensed Professional Counselor, PC - Professional Counselor, State and/or Compact State Licensure
  • Minimum of five years of clinical experience with focus in managed care, including disease or case coordination.
  • One year direct supervisory experience required. 
  • Demonstrated ability to communicate with members with complex medical needs and may have communication barriers.
  • Thorough knowledge of physical, medical specialty and/or mental health community resources and providers.
  • Thorough knowledge of healthcare services in physical health, behavioral health or other medical specialty area based on pod management.
  • Considerable skill in interpreting clinical treatment information and making appropriate referral and triage decisions.
  • Must meet Magellan's credentialing criteria for RN, Masters or Doctoral level provider.
  • Bi/Multi Lingual preferred
Organization: 
Magellan Health
City: 
Charlottesville
State: 
VA
Date Posted: 
Monday, June 5, 2017
Date Closing: 
Wednesday, July 5, 2017
Contact Name: 
Jamie Riese
Contact Email, Phone, or Address: 
jriese@tmgwisconsin.com
Full or Part Time: 
Full Time