job details

Job Number: 1225958
Job Title: Medical Director
Job Type: Full-time
Location: Monsey, NY
Hours: Monday - Friday, 9am - 5pm
Post Date: Sep 24 2018
Salary: DOE
Detailed Job Description:
Fast growing and fast paced MLTC client is hiring a Director of Care Management. This company services residents in the Hudson Valley Region is seeking an RN as Director of Care Management.

The Director of Care Management will lead the clinical operations of the Plan. Responsibilities include supervising staff and overseeing day to day workflow processes. Candidate works collaboratively with the leadership team supporting high quality outcomes and member satisfaction. The Director ensures timely and appropriate access of services, and that team is compliant with all regulatory requirements.

Responsibilities:
* Provides day-to-day oversight of Care Management operations, ensuring all practices and programs are aligned with the overall strategic plan of the organization.
* Sets direction for Care Management staff, ensuring accountability, quality outcomes, and follow-through.
* Provides leadership and direction to Care Management team.
* Assists Care Mangers in completing comprehensive assessment and care plans to evaluate the memberâs need for services.
* Plays active role in creating, applying and utilizing policies and procedures.
* Performs other duties as assigned

The ideal candidate will possess a minimum of 3- 5 years of professional experience within a Managed Care Organization. Must have direct MLTC experience and HMO experience is preferred
* Candidates must be a current NYS licensed RN
* Experience supervising 5+ employees.
* Experience within a growing company ideal.


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