Thomas Allen, Inc

MC PM Jobs at Thomas Allen, Inc

Sample MC PM Job Description

MC - PM

Thomas Allen's Managed Care Division is Hiring a Program Manager!

LOCATION:

HOURS AVAILABLE:

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:

  • Must be a Licensed Social Worker certified by the Minnesota Board of Social Work
  • 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

AA/EOE

To view other open positions, click here.

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 who are passionate about providing services that empower those we support.

Join our team and make a difference!

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