Senior Manufacturing Manager leading Boeing Commercial Airplane's 737 North Line Team. Overseeing multiple manufacturing disciplines and ensuring quality and safety standards.
CS
Onsite Health Plan Care Manager, RN / LSW
Posted 43 minutes ago
About the role
- Health Plan Care Manager responsible for coordinating Medicare Advantage services in Ohio. Collaborating with care teams to ensure high-quality healthcare is delivered to members in an institutional setting.
Responsibilities
- Oversee and coordinate the care of assigned ISNP members, ensuring they receive timely and appropriate care as dictated by the SNP Model of Care.
- Perform initial, annual, transition of care (TOC) and change in condition health risk assessments (HRA) for ISNP care managed caseload.
- Formulate and implement a member centric holistic care plan that addresses identified needs by assessing the member/representative/family needs, issues, resources and care goals; determining and educating on the choices available to the individual member.
- Collaborate with the interdisciplinary team (ICT) which may include Medical Director, PCP, nurse practitioners/physician assistants, pharmacy, dietary, social workers, other clinical and non-clinical disciplines, facility staff, member representatives and family to establish, revise and continuously evaluate the member centric care plan.
Requirements
- Licensed master’s in social work or licensed Registered Nurse (RN) with a minimum of a bachelor’s degree
- Clinicians must be clinically licensed in the State they are managing members or have compact licensure
- Certified Case Management (CCM) certification or willing to obtain within 1 year of hire (company sponsored)
- Active drivers license as this is NOT a remote role and must have reliable transportation to enable face to face visit to members in facilities
- Minimum of 3-5 years in Case/Care Management preferred and/or 5+ years of direct patient care
- Knowledge of value-based care, fee for service and Medicare Advantage/Dual (Medicare/Medicaid), NCQA, HEDIS and basic Utilization Management functions
- Expertise in care coordination for geriatric and high-risk populations
- Ability and experience utilizing a variety of applications and databases to fulfill care management requirements, and documentation.
Benefits
- Health insurance
- Flexible work arrangements
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Managing AI solutions and automations for DSV - Gruppe, a central partner for digital services in the Sparkassen - Finanzgruppe. Overseeing workflow design and technical support for customer projects and internal initiatives.
Senior Manager assisting CFOs with FP&A and finance transformation. Leading engagements and developing teams at Deloitte in Singapore.
Technology Team Manager overseeing Regulatory Reporting systems at SEB in Rīga, leading the System Team and sharing responsibility for the Feature Team's operational duties.
Manage balance circle operations and energy quantities for multination markets. Drive decarbonization and energy transition in a collaborative team environment.
Manage a team of Visual Merchandising Champions at adidas to ensure compliance with merchandising standards. Focus on training, team leadership, and visual strategy execution in Greece.
Manager overseeing Product Supply Interface in Bogotá, Colombia for global operations. Collaborating with teams to enhance supply chain efficiency and manage product availability.
Research Manager leading research projects at ECGlobal. Aiming to improve brand interactions leveraging behavioral insights.
Site Activation Manager at Syneos Health overseeing project deliverables and customer relations. Collaborating with diverse teams to enhance site activation processes.
Senior Manager managing data, reporting, and analytical tools for Pfizer's Commercial Portfolio Management. Leading project management and operational effectiveness initiatives across various departments.