Program Manager - Managed Care
Company: Thomas Allen Inc.
Location: Burnsville
Posted on: May 21, 2023
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Job Description:
Thomas Allen's Managed Care Division is Hiring a Program
Manager! LOCATION: Burnsville HOURS AVAILABLE: 40 hours/week JOB
SUMMARY: As the Program Manager in Managed Care, you will be the
primary contact for health plan representatives and should ensure
high-quality services are provided in accordance with health plan
and DHS expectations. You will also be responsible for case
assignment, hiring, training, and direct supervision of contracted
care coordinators. DUTIES INCLUDE: Recruitment and ensuring
employees receive all required orientation information Provide
ongoing support, guidance, training, and supervision to all
personnel Completing performance evaluations Reviewing time cards
and reimbursement claims Scheduling and supporting general office
operations Ensuring insurance binders and licensure are submitted
and up to date Ensuring all paperwork and records are accurate and
up to date Manage the referral process Conduct quality assurance
audits and assist with surveys Communicate with lead agencies and
county representatives Review all billing forms, design policies
and forms Attend meetings and training, be a positive
representative of the company Complete other duties as assigned
REQUIREMENTS: Graduate from an accredited four-year college with a
major in social work AND maintain licensure by the Minnesota Board
of Social Work. It is required to hold an active temporary or
permanent social work license upon start date if a social work
degree was obtained; OR Graduate from an accredited four-year
college with a major in psychology, sociology or a closely related
field ; OR Graduate from an accredited four-year college with a
major in any field and have one year experience as a Social Worker
in a Public or Private Social Service Agency. Meeting the minimum
qualifications of a social worker under the Minnesota Merit System
(per Minnesota Rule 9575) At least 2 years of professional
full-time Case Management experience OR in a related position AND
at least 3 years of human services experience Knowledge of MA,
Medicare, and MN Healthcare Programs strongly preferred Must be at
least 18 years of age Background clearance Ability to effectively
communicate in English, written and verbal Driver's license,
acceptable driving record, and proof of auto insurance required
Full-Time Benefits: Medical, dental, vision, disability and life
insurance Health Savings Account, Flexible Spending Account, and
Dependent Care Account 401(k) and Profit Sharing Tuition,
licensure, and certification reimbursement Paid holidays Paid time
off Floating holiday to be used when you need it Thomas Allen, Inc.
is a social services agency that provides a variety of
person-centered services to individuals with disabilities
throughout the state of Minnesota. Our team of nearly 800 employees
are key players in assisting individuals served with group home
support, semi-independent and independent living, case management,
care coordination, and guardianship. As our agency continues to
grow, we are looking for team members with diverse perspectives and
backgrounds who are passionate about providing services that
empower those we support. Thomas Allen, Inc. is an Equal
Opportunity and Affirmative Action Employer of all people without
regard to race, color, creed, religion, national origin, sex,
sexual orientation, disability, age, marital status, familial
status, veteran's status, membership or activity in a local human
rights commission, or status with regard to public assistance. Join
our team and make a difference!
Keywords: Thomas Allen Inc., Burnsville , Program Manager - Managed Care, Executive , Burnsville, Minnesota
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