Manager Medical Case Management
Personally Yours Staffing - Miami, FL

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Personally Yours Staffing, a Corporate Resource Services company currently recruiting for a Manager Medical Case Management for our client based in the Miami area.

Position Requirements:

Bilingual (English / Spanish) strong verbal and written communication skills needed with ability to interact and present to internal and external business partners. Experience with leading presentations, product explanations, resolving customer requests, and interacting with executives preferred.

Bachelor of Science in Nursing

Case Management experience

Experience/exposure with discharge planning

Experience in utilization review, concurrent review and/or risk management

Strong organizational skills and multitasking abilities

Experience with Microsoft Word, with the ability to navigate a Windows environment

Ability to be on call after standard business hours required

Additional Assets Preferred:

Candidate should have experience in hospital environment, and managing people in Case Management departments.

Claims or Call Operations experience

International experience or exposure in professional working capacity

Willingness to adapt; development of policies and procedures experience

Background in managed care

Certified Case Manager (CCM)

Experience/exposure with discharge planning

Responsibilities include:

Oversight and accountability for approximately 4 RN Case Managers, 4 Intake Coordinators and 1 Support Staff.

Implementation of programs, workflows, P&Ps, trainings, and other projects as assigned in relation to the management of medical case coordination and identified performance metrics

Ability to manage multiple high priority projects and successfully implement processes end to end

Liaise with external vendors, providers, members and clients

Coaching and developing office-based and remote team members

Personally Yours Staffing - 22 months ago - save job
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