MCO Team Manager (Keystone First CHC)
PATIENT CARE COORDINATION, INC. Philadelphia, PA
PATIENT CARE COORDINATION, INC. Philadelphia, PA
PATIENT CARE COORDINATION, INC. Philadelphia, PA
2 weeks ago 56 applicants
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PATIENT CARE COORDINATION, INC. provided pay range
This range is provided by PATIENT CARE COORDINATION, INC.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$48,760.00/yr - $62,420.00/yr
Additional compensation types
Stock options
Company Description
Patient Care Coordination, Inc. is a Service Coordination Entity serving 22 counties in Pennsylvania and a partner with various healthcare programs including AmeriHealth Caritas CHC, Keystone First CHC, and UPMC HealthChoices. With a mission to advocate, assess, monitor, and connect participants to community services, PCC focuses on maintaining health, safety, and independence through individualized and participant-centered care. PCC offers services under Community HealthChoices, Nursing Home Transition, and the Office of Long Term Living, along with the OBRA Waiver and Act 150 Program.
Role Description
This is a full-time hybrid role for a MCO Team Manager (Keystone First CHC) at Patient Care Coordination, Inc. based in Philadelphia, PA, with flexibility for remote work. The MCO Team Manager will oversee daily operations, coordinate with interdisciplinary teams, manage participant services, ensure compliance with healthcare regulations, and develop strategies to enhance participant outcomes specific the Keystone First CHC/AmeriHealth Caritas CHC team.
Qualifications
- Strong leadership and team management skills
- Minimum of 3-4 years experience in a CHC/Service Coordination setting as a Manager or Supervisor and/or 5-7 years experience as a Service Coordinator with a history of maintaining compliance of 90% or more and participant-focused success
- Knowledge of ELTSS, HCSIS and other related systems
- Experience in Managed Care Organizations (MCOs) and healthcare coordination
- Knowledge of Community HealthChoices, Nursing Home Transition, and Long Term Living programs
- Excellent communication and interpersonal skills
- Ability to analyze data and make data-driven decisions
- Proficiency in Microsoft Office and healthcare management software
- Bachelor's/Master's degree in Social Work, Healthcare Administration, Public Health, or a related field (Master's Preferred)
- Certification in Case Management or Healthcare Management is a plus
-
Seniority level
Mid-Senior level -
Employment type
Full-time -
Industries
Medical Practices
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