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Care Coordination Manager

Company: Southcoast Hospitals Group
Location: New Bedford
Posted on: August 14, 2019

Job Description:

At Southcoast Health, we acknowledge that our employees are what helps make us great! We are searching for a Care Coordination Manager to perform a wide variety of duties both within and in support of the organization ' s Care Coordination Department. Direct and supervise the functions of Care Coordination including the areas of Case Management (utilization review, utilization management, and discharge planning) as well as Denial/Appeal Management. Provide 24 hour leadership for Case Management functions primarily at individually assigned hospital sites, with cross site coverage to ensure optimum use of resources, service delivery and compliance with various external regulatory requirements. Duties involve remote coverage for all hospital and alternative site employees including evening, night and weekend on-call coverage within scope of own position responsibilities. Duties include direct supervisory responsibility for assigned personnel and activities in the areas of Case Management and Denial/Appeal Management at individually assigned hospital sites. Primary duties involve responsibility for site specific functions and employees up to and including 100 FTEs. Hours: 40hrs (full time) Shift: Day Shift 8:00am-4:30pm Travel: May require driving on average 3 or more times per week. Education and/or Experience Requirements: A Bachelor ' s Degree in Nursing or the equivalent education and experience is required. A current RN Registration in the Commonwealth of Massachusetts is required. Proficient skills in Microsoft Office, i.e. Word, Excel, and PowerPoint are required. Five (5) years of progressively responsible and related work experience is required. Southcoast Health is a community based health delivery system with multiple access points, offering an integrated continuum of health services throughout Southeastern Massachusetts and East Bay, Rhode Island. For more than 100 years, we have provided quality, patient-focused care in a stet-of-the-art environment. By uniting a single purpose and building an integrated system of services and resources, we have become one of the largest and fastest-growing health systems in Massachusetts. Together We Are More. 311 years of hospitals' collective continuous services 920 + square miles of service across southern MA + East bay, RI 7400 + employees doctors, nurses, professionals in IT, Finance, HR, and more Top 5% of USA hospitals for 2017 clinical performance by Healthgrades We are committed to providing our employees in MA and RI with optimal benefits that promote a healthy work/life balance and add value to our employees' lives. Generous Earned Time Off Package** Health, Dental and Vision Insurance* Tuition Assistance** Short Term and Long Term Disability Insurance* Life & AD & D insurance* Flexible Spending Accounts* 403B Retirement Plan with match HealthQuest Wellness Program Employee Assistance Program Employee Discount Program Career Development Opportunities *Available to regular status employees who are scheduled to work a minimum of 24 hours. **Available to regular status employees who are scheduled to work a minimum of 20 hours. Are you ready to make a difference in your community? Join us in our strive to be more than medicine! "jobSummaryDisplay": " At Southcoast Health, we acknowledge that our employees are what helps make us great! We are searching for a Care Coordination Manager to perform a wide variety of duties both within and in support of the organization ' s Care Coordination Department. Direct and supervise the functions of Care Coordination including the areas of Case Management (utilization review, utilization management, and discharge planning) as well as Denial/Appeal Management. Provide 24 hour leadership for Case Management functions primarily at individually assigned hospital sites, with cross site coverage to ensure optimum use of resources, service delivery and compliance with various external regulatory requirements. Duties involve remote coverage for all hospital and alternative site employees including evening, night and weekend on-call coverage within scope of own position responsibilities. Duties include direct supervisory responsibility for assigned personnel and activities in the areas of Case Management and Denial/Appeal Management at individually assigned hospital sites. Primary duties involve responsibility for site specific functions and employees up to and including 100 FTEs. Hours: 40hrs (full time) Shift: Day Shift 8:00am-4:30pm Travel: May require driving on average 3 or more times per week. Education and/or Experience Requirements: A Bachelor ' s Degree in Nursing or the equivalent education and experience is required. A current RN Registration in the Commonwealth of Massachusetts is required. Proficient skills in Microsoft Office, i.e. Word, Excel, and PowerPoint are required. Five (5) years of progressively responsible and related work experience is required. Southcoast Health is a community based health delivery system with multiple access points, offering an integrated continuum of health services throughout Southeastern Massachusetts and East Bay, Rhode Island. For more than 100 years, we have provided quality, patient-focused care in a stet-of-the-art environment. By uniting a single purpose and building an integrated system of services and resources, we have become one of the largest and fastest-growing health systems in Massachusetts. Together We Are More. 311 years of hospitals' collective continuous services 920 + square miles of service across southern MA + East bay, RI 7400 + employees doctors, nurses, professionals in IT, Finance, HR, and more Top 5% of USA hospitals for 2017 clinical performance by Healthgrades We are committed to providing our employees in MA and RI with optimal benefits that promote a healthy work/life balance and add value to our employees' lives. Generous Earned Time Off Package** Health, Dental and Vision Insurance* Tuition Assistance** Short Term and Long Term Disability Insurance* Life & AD & D insurance* Flexible Spending Accounts* 403B Retirement Plan with match HealthQuest Wellness Program Employee Assistance Program Employee Discount Program Career Development Opportunities *Available to regular status employees who are scheduled to work a minimum of 24 hours. **Available to regular status employees who are scheduled to work a minimum of 20 hours. Are you ready to make a difference in your community? Join us in our strive to be more than medicine!

Keywords: Southcoast Hospitals Group, New Bedford , Care Coordination Manager, Executive , New Bedford, Massachusetts

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