DESCRIPTION: H/she will supervise Case Management (CM) teams assuring optimal quality and outcomes for members of the MLTCP/SNPs; Assist in organizing the workflow of case management as well as evaluate the effectiveness of the services coordinated by CM with emphasis on quality of care, cost, compliance with regulations, professional standards and member satisfaction as well as participate in recruitment, orientation/training and development of CM team. H/she will review cases with CM team to identify potential service delivery issues. This position reports to the Director Case Management Operations.
EXPERIENCE: The successful candidate must have the following:
* Currently licensed to practice as a Registered Professional Nurse in New York State.
* BSN degree, Masters Degree in health related or business field preferred.
* Supervisory experience in a Managed Care, Home Care or Community Health Setting.