Case Management Coordinator-CW
Posted on :
15-03-2024
Employer Active
1 Vacancy
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Job Description
Req ID : 2631186
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health and wellness organization located in Pittsburgh and operates health insurance plans in Pennsylvania Delaware and West Virginia.
Job Title: Case Management CoordinatorCW
Location: Remote
Duration: 11 Months
Job Type: ContracttoHire
Work Type: Remote
Job Description:
- This job delivers highly complex clinical and systems training courses ongoing workshops in support of workforce development technology and/or proprietary business systems updates or creates course materials to reflect changes in processes or systems and manages the department training effectively to ensure efficient and effective learning.
- Ensures that educational programs meets with all compliance regulatory and contractual requirements.
- Conducts ongoing audit review programs develops tools to assess current outcomes and trends along with Directors Managers and Supervisors.
- Develops educational interventions to maintain contractually mandated standards of care as it applies to existing and future Policies Workflows and Systems functions.
- Responsible for afteraction items as outcome of Quarterly State Audit Reviews Annual MERCER Review and NCQA Review. Develops ongoing educational programs.
- Bachelors required in either Social Work Nursing or Education
- Clinical background required
- Nursing/Social Work license strongly desired
- Should have some years of related experience experience with utilization mgmt utilization review hospitality preferred
- CCM (Cerified Case Manager) strongly preferred
- Experience in a skilled nursing facility strongly preferred
Additional Skills:
- Adult Learning: Theory and Practice
- Creativity Skills
- Clinical Systems
- Company Presentations
- Medicaid
- Project Management
- PowerPoint
TekWissen Group is an equal opportunity employer supporting workforce diversity.
Employment Type
Full Time
Key Skills
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