Centers Plan for Healthy Living

UM Care Coordinator Supervisor

US-NY-Staten Island
8 months ago
ID
2017-1145
# of Openings
1
Category
Management

Overview

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Join the excitement in support of our MLTC and Medicare Advantage Plan businesses!

 

Centers Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid.  Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CPHL is committed to providing quality, coordinated health care to some of the most honored and yet still vulnerable members of our community.

Responsibilities

Looking for a Utilization Management Supervisor who will manage a team of UM Coordinators and varied projects with the goal of making decisions that can increase efficiency in delivery of services.

 

  • Manages a team of Care Coordinators
  • Audits to assess the quality of documentation and provides feedback to Coordinators on areas for improvement
  • Assess timelines of authorization to ensure protocols are met
  • Troubleshoots any issues that Coordinators are experiencing during the authorization process.
  • Participates in company meetings as requested
  • Ensure that all projects are delivered on-time, within scope and within budget
  • Create process and workflow documents, as necessary
  • Communicates regularly with the Director regarding outcomes, challenges and all other essential issues
  • Other duties as assigned

Qualifications

  • Minimum 3 year Utilization Management experience
  • 2 years Management experience
  • Bachelor's Degree preferred; high school required
  • Must be willing to commute to Staten Island and Jamaica

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