Sign In
 [New User? Sign Up]
Mobile Version

Manager, Care Management - PACE Program Wide

Riverside Healthcare


Location:
Norfolk, VA
Date:
04/25/2017
Job Code:
110381
Categories:
  • Healthcare/Medical
Riverside Healthcare
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

MANAGER CARE MANAGEMENT at Riverside
Logo

Manager, Care Management - PACE Program Wide

Leadership/Management

PACE ADMINISTRATION SUPPORT

PACE ADMINISTRATION

Full Time

Day Shift

days

Bachelor's Degree
Certification Required or Eligible
RN Required or Eligible
5 years of experience required

Job Summary: Works under the supervision of the PACE Quality Director. Responsible for designing, implementing, directing, & evaluating PACE-wide Care Management program, to include policy & operational development. Functions include: medical necessity reviews, care planning, clinical documentation, & management of claims appeals, with a focus on ensuring consistently applied utilization processes are in place for hospitals & skilled nursing facilities. Responsible for staying up to date with any regulatory changes regarding PACE & impacting care management. Develops & revises policies & procedures, monitors performance, & coaches staff. Participation in process improvement; survey preparedness; & collaboration within PACE community, Riverside Health System, & outside entities as necessary. Functions as part of the PACE leadership team to establish strategic plans & objectives (i.e. clinical outcomes, service level targets, financial targets, & development & implementation of new programs).

Education: Requires Bachelors Degree in Nursing; Advanced degree strongly preferred.

Certification & Licensures Minimum Requirements: Current unrestricted Virginia RN license required. Certification as a case manager (CCM) required.  Valid drivers license and acceptable driving record required upon hire and to be maintained during employment.

 

Experience Requirements: 5 years of progressive management experience. Prior PACE experience preferred. Previous Care Management experience required. Must provide proof of minimum one (1) year experience working with the frail and/or elderly population in any capacity.

 

Hours: primarily day shift Monday thru Friday. May require routine travel to PACE locations in Newport News, Richmond, and Charlottesville, Virginia.

 

Featured Employers

Featured Jobs

CareerConnection Video