Manager, Service Coordination - MCO
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POST DATE 8/20/2016
END DATE 12/19/2016
ALC Staffing Associates
JOB DESCRIPTIONManager, Service Coordination
RN or LCSW preferred
Mc Allen, TX
No Relocation Assistance Available
Oversee the infrastructure that coordinates necessary resources for members which may include adequate clinical, behavioral, acute/chronic, and social care services.
Coordinate and communicate on access issues, assessments, internal Managed Care Organization (MCO) protocols and other key information with external stakeholders.
Develop and implement appropriate policies and procedures as well as ensuring staff is able to facilitate member and provider needs through entire case management cycle.
Partner with internal staff on key initiatives and outreach for members as needed.
Create effective organizational structure, roles and jobs.
Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.
Compile and review multiple reports on work function activities for statistical purposes, financial tracking purposes and for process improvement to identify trends, assist in financial forecasting, and make recommendations to management. Monitor and report on achievement of committed action plans.
Ensure appropriate representation of MCO at meetings with key internal and external stakeholders.
*Bachelor's degree in Nursing, Social Work, Health Care Administration, related field or equivalent experience.
*5+ years of nursing, social work, healthcare administration, or patient/community advocacy experience.
*Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
*RN License or Licensed Clinical Social Worker (LCSW) preferred.
Equal opportunity employer.
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.