Skip navigation

Social Worker-RN-Supervisor of Healthcare Transition-Managed Care

Job Description

Job Summary
Oversees the integrated Care Transition team responsible for safely and effectively transitioning members from acute or inpatient care to lower levels of care and/or home in a cost efficient manner.  Monitors information daily as appropriate including member metrics and staff productivity. Evaluates the services provided and outcomes achieved by the team and recommends enhancements and/or improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines in day-to-day activities.
Essential Functions
• Oversees, coordinates and monitors all Care Transition clinical and non clinical team activities to facilitate integrated proactive multidisciplinary management.
• Monitors onsite hospital discharge visits and post-discharge visits to assure continuity of care and prevent unnecessary readmissions.
• Manages and evaluates team members in the performance of various care transition and discharge planning activities.
• Performs and promotes interdepartmental integration and collaboration to enhance the continuity of care including Behavioral Health and Long Term Care for members.
• Ensures adequate staffing and service levels, and maintains customer satisfaction by implementing and monitoring staff productivity and performance indicators.

Job Requirements

• Demonstrated ability to communicate, problem solve, and work effectively with people.
• Skilled at supervising high functioning multidisciplinary teams.
• Knowledge of community resources.
• Able to use effective management principles.
• Excellent organizational skills with the ability to manage multiple priorities.
• Work independently and handle multiple projects simultaneously.
• Knowledge of applicable state, and federal regulations.
• In depth knowledge of Interqual and other references for length of stay and medical necessity determinations
• Experience with NCQA.

Abe Ghebrehiwet

Senior National Account Executive

Nurse Resolutions

888.411.2228 ext 204. Toll Free

407.982.7508. Fax

[Click Here to Email Your Resumé]

home health, home care, homecare, oasis, amherst, new york

Job Snapshot

Contact Name Abe Ghebrehiwet
Contact Phone 888.411.2228 x 204
Post Date 8/15/2014
Location Long Beach, CA
Employment Type Full-Time
Job Type Nurse, Health Care, Insurance
Education Not Specified
Experience At least 2 year(s)
Manages Others No
Relocation No
Industry Healthcare - Health Services, Managed Care, Insurance
Required Travel Not Specified
Job ID abe
CareerBuilder Tip:
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using you are agreeing to comply with and be subject to the Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.