Care Coordination Manager

Job Title: Care Coordinator Manager

Date: 8/1/23

Department: Care Coordination

Weekly Hours: 40

Reports to: Chief Medical Officer

FLSA Status: Exempt

POSITION OVERVIEW:

The Care Coordination Manager will oversee and assist in the development of the Care Coordination team by providing leadership and support to the department.

SUPERVISORY DUTIES AND RESPONSIBILITIES (ESSENTIAL FUNCTIONS):

Develop Care Coordination staff and nurture an environment where they can excel.

Assists with the hiring of Care Coordination employees.

Assists with the training of Care Coordination employees in the company's policies, procedures, Sharing Guidelines and department specific best practices.

Organizes and oversees the schedules and work of assigned staff.

Handles discipline of employees as needed and in accordance with company policy.

DUTIES AND RESPONSIBILITIES:

Uphold and Integrate Solidarity's Catholic and Christian identity and foster the teachings of the Church in all aspects of your job responsibilities.

Assist with developing Care Coordination policies and procedure and drive its implementation.

Ensures that the Care Coordination team is trained regarding changes to company policies, procedures and Sharing Guidelines.

Manages a team of assigned Care Coordination employees and ensures they comply with company guidelines particularly those related to quality of service.

Acts as a point of contact for contracted service providers working on Single Case Agreement rates and bill processing.

Oversee the consistency of processes and procedures by creating, maintaining and enforcing standers and best practice.

Provides ongoing feedback to help optimize quality performance.

Collects data and prepares reports on department KPI.

Collaborates with others and cross- departmentally to improve or streamline processes and stands in as a medical resource.

Identifies opportunities to update or improve Care Coordination policy/procedure and make recommendations to the appropriate staff.

Performs other related duties as assigned.

REQUIRED QUALIFICATIONS & SKILLS:

Excellent management and supervisory skills.

Excellent verbal and written communication skills.

Ability to demonstrate the on- going development of a high- performance team while maintaining a positive work environment.

Extensive knowledge of customer service principles.

Organized with attention to detail.

Ability to resolve member/ provider complaints and issues while maintaining a professional and calm demeanor.

Must be able to provide proof of eligibility to legally work in the United States.

Proficient in Microsoft Office Suite or related software.

EDUCATION AND EXPERIENCE:

Bachelor's degree preferred.

At least three years of customer service experience required.

At least five years of clinical related experience required.

Experience with interacting with Physicians or case management preferred.

At least two years of management or supervisory experience.

PHYSICAL REQUIREMENTS:

Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 20 pounds at times.

WORKING ENVIRONMENT:

Professional office setting

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.