Director of Service Coordination _ RN

United States

Type: Full Time

Eve Crane & Associates Inc.

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				Director of Service Coordination_ RN

Locations:  San Antonio,McAllen, Austin, Dallas, Lubbock, Corpus Christi, TX

Job description
Position Purpose: Oversee the regional staff to ensure health plan programs are designed, implemented, and operated within defined parameters.

Ensure Corporate's strategic objectives are maintained at the regional health plan facilities.
Assist in the development and implementation of work processes and operational systems.
Research changes and updates to government regulations or health plan guidelines.
Provide on-call duties as assigned for potential interventions and follow up on urgent call issues.
Identify trends and root causes of problems; provide recommendations for improvements, documentation, and training.
Participate in the integration of specialty products in health plan operations.


Education/Experience: Bachelor's degree in Nursing, Social Work, Health Care Administration, related field or equivalent experience. 7+ years of nursing, social work, healthcare administration, or patient/community advocacy experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. 

License/Certification: Current state's nursing license or Licensed Clinical Social Worker (LCSW) preferred.

The candidate selected for this role will be managing a team of field-based RNs for a statewide team doing initial and annual reassessments for IDD waiver population in the STAR kids and STAR + PLUS program, members with IDD related conditions in the STAR + PLUS program and those members in the Medicaid Breast and Cervical Cancer (MBCC) STAR + PLUS program.

Strongly prefer RN candidates who have experience in STAR Kids and STAR + PLUS programs with case management and home health experience.

This is an in-office position.

Company is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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