Director of Case Management
at RCM Health Care Services

Date Posted: 4/15/2019

Job Description

For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.  They provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products.
Job Title: Director of Case Management, Manhattan, NY
Position Overview:
Under the supervision of the Senior Director of Clinical Services, the Director of Case Management serves as the subject matter expert and resource for all departments related to care management activities. The Director of Case Management supports the mission of the plan by enhancing the quality of case management outcomes and member satisfaction, promotes continuity of care and cost effectiveness through the integration and functions of case management. The program provides intensive, personalized member-centered case management services and goal-setting for members who have complex medical needs and require a wide variety of resources to manage health and improve quality of life.
As a member of Medical Management Senior Leadership, the Director of Case Management is responsible for the day to day operations and human resource management of the Department of Case Management. The Director of Case Management serves as an educator, role model, member advocate, and change agent to enhance member care and staff competency. The Director collaborates with other departments (Utilization Management, Quality Management, HIV SNP, MLTC, Medical Directors, Personal Care Services, Restrictive Recipient Program, Customer Services, and other departments) to evaluate and coordinate activities and programs in support of delivery of member care. The Director of Case Management oversees daily team operations and provides strong leadership through training, coaching, teaching, and managing assigned teams.

Required Education, Training & Professional Experience:
• Minimum of 5 years Case Management experience.
• Certified Case Manager (CCM) preferred.
• Minimum of 3 years managerial experience and leadership of a Case Management staff within a managed care organization or hospital environment.
• Knowledge of NCQA's Case Management Accreditation Standards.
• Knowledge of standard case management concepts, practices and procedures in a managed care setting.
• Proficient in Microsoft Office; Strong analytical skills.
Licensure and/or Certification Required:
• CCM preferred

Solid Six Figure Salary with Generous Benefits

Job Snapshot

  • Employee Type: Full-Time
  • Location: New York, NY
  • Job Type: Management
  • Experience: At least 3 year(s)
  • Date Posted: 4/15/2019

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

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