What are the responsibilities and job description for the Manager, Care Coordination position at Fidelis Care - New Jersey?
You could be the one who changes everything for our 28 million 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 : Manages care coordination activities to assigned members to ensure appropriate services are delivered by providers and ensure continuity of care across services. Manages care coordination team members and escalated issues related to members and / or providers.
- Must reside in NJ
- Monitors and reviews member support care coordination activities including transition of care to ensure appropriate services are delivered by providers and ensure continuity of care across services
- Oversees and approves assigned caseloads of care coordination team based on state and contractual requirements and member needs
- Partners with care coordination management team leaders to ensure effective, appropriate care of the member, addressing member needs, and continuity of care
- Ensures standards of practice and policies are compliant with contractual requirements and regulatory guidelines and standards
- Sets goals and objectives for care coordination team to provide continuity of care across services
- Works with care coordination leadership to provide updates and insights on team goals
- Provides feedback to team and other stakeholders to improve services and continuity of care
- Educates and provides guidance and / or resources for care coordination team to address member and / or provider issues and concerns
- Assists care management senior leadership with onboarding, hiring, and training care coordination team members
- May manage telephonic (in-bound and / or out-bound), digital, home and / or other site outreach to assess member needs and collaborate with resources
- Manages and ensures adherence to service level, quality and KPI expectations
- Leads and champions change within scope of responsibility
- Performs other duties as assigned
- Complies with all policies and standards
Must reside in NJ
Education / Experience : Requires a Bachelor's degree and 5 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Pay Range : $72,400.00 - $130,100.00 per year
Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Salary : $72,400 - $130,100
