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Case Disease Management Manager (Priority Health)

Company: Spectrum Health
Location: Grand Rapids
Posted on: December 4, 2019

Job Description:

Facility: Priority Health - GRAND RAPIDS, MI Department: Ph-Care Management - Indvdual Category: Health Plan Classification: Full-time with Benefits (A1) Provides supervision and leadership to the team of Priority HealthCareManagers and support stafffor our Individual andPriorityMedicare D-SNP products. Responsible for operations and acts as a resource and consultant to the team to ensure that the goals and standards of the department and Priority Health programs are being met. Provides oversight of processes and procedures to assure that the individual's specific health needs are met to promote the highest quality of care in the most appropriate setting. DIRECTION EXERCISED: Directly superviseslocal andregional employees. Responsibilities include but are not limited to effective interviewing, hiring and training employees; planning, assigning and directing work, appraising performance; rewarding and counseling employees; addressing complaints and resolutionand program planning. Basic Qualifications: Education - Bachelor's Degree or equivalent in Bachelor's degree in health-related field, Master's of Social Work (MSW) degree, or Master's in a health or human services related field Experience - 5 years of experience typically gained through skills/knowledge/abilities in clinical experience in health services setting Licenses - If incumbent does not have a Master's in a health or human services related field, they must either be licensed as a Registered Nurse (RN) or be licensed as an MSW social worker Upon Hire Preferred Qualifications: Education - Master's Degree in (for those who do not have MSW, MA or MS degree) Experience - 3 years of experience typically gained through skills/knowledge/abilities in managed care and/or case management experience Strong knowledge of management health care Knowledgeable on compliance and regulations as it relates to Case Management Programs Licenses - Case Management Certification Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category.

Keywords: Spectrum Health, Grand Rapids , Case Disease Management Manager (Priority Health), Executive , Grand Rapids, Michigan

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