Senior Manager Clinical Eligibility

Job description

The Senior Mgr of Clinical Eligibility will have knowledge of the current assessment process, for both Medicaid and Medicare programs. This position will support the Assessment Managers in planning, directing, and implementing processes for successful outcomes and achieving goals. The Sr Mgr conducts and contributes to member and family education regarding health management and community resources to enhance population health. This position will be responsible for the overall administration, development, and operation of the Assessment team. Duties & Responsibilities: - Participates in all aspects of personnel management to ensure appropriate staffing, orientation, support, discipline, and timely performance appraisals. - Meets regularly with direct reports to review goals, trends, and performance measures and to facilitate change. - Participates in continued staff development to improve the decision-making process. - Provides administrative on-call coverage to troubleshoot and coordinate the delivery of care and services to members. - Manages Assessment Managers to ensure timely assessments and targeted interventions to meet a member’s changing condition(s). - Supports the care ma...