Job Summary
A company is looking for a Manager, LTSS Clinical Care Management.
Key Responsibilities
- Manage the care management team of licensed clinicians serving long-term care members
- Oversee compliance with federal and state regulations and develop care management policies
- Manage escalated care cases and provide guidance to team members on member concerns
Required Qualifications, Training, and Education
- Graduate from an Accredited School of Nursing or a Bachelor's degree with 5+ years of related experience, or a Master's degree for positions overseeing behavioral health team members
- 2+ years of supervisory experience preferred
- Strong knowledge of healthcare managed care principles and experience in developing long-term service plans
- Current state's Registered Nurse (RN) license or relevant behavioral health certification required upon hire
- Resource Utilization Group (RUG) certification must be obtained within 90 days of hire for positions overseeing RN team members
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