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Manager, Case Management (Social Work) - RT

Absolute Opportunities
Yakima, Washington, United States
November 14, 2018


Manager, Case Management (Social Work) - RT

Yakima, Washington

Position Purpose: Perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions.

Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes.

Promote compliance with federal and state regulations and contractual agreements.

Develop, implement and maintain compliance with policies and procedures regarding medical case management.

Develop, implement, and maintain case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure.

Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.

Develop staff skills and competencies through training and experience.

Required Knowledge, Skills, and Abilities: (Submission Summary)

1. Master’s Degree in Social Work.

2. 3+ years case management experience and recent nursing experience in an acute care setting particularly in medical/surgical, pediatrics, obstetrics or care coordination in a behavioral health setting and management experience.

3. Thorough knowledge of case and/or utilization management and clinical nursing.

4. Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP.

5. MSW, LMHC or LCSW license.

6. Chemical Dependency Professional (CDP) certification preferred.

7. Salary Expectation?

8. Must be a US Citizen or Green Card holder?

9. Complete Current Address?