Director, Care Management - Foster Care

Centene
Oklahoma City, Oklahoma
Workplace: OnsiteFull timeUSD 121,500 - 224,900 annuallyFunction: Executive & General ManagementExperience: 7+ yearsEducation: bachelorsSkills: ["Leadership","Strategic planning","Process improvement","Compliance management","Talent management"]

Direct and evaluate the care management team to develop and assess high-quality, cost-effective healthcare outcomes for members. Lead departmental operations, staffing, information technology use, and staff competencies; set goals and oversee care management reporting metrics with senior leadership. Ensure policies and procedures meet federal, state, and NCQA standards, drive process improvements, develop clinical care pathways, and build the department budget and the strategy for onboarding, hiring, and training the team.

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FursaFursa
Centene
Centene
1 day ago

Director, Care Management - Foster Care

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Last checked: 1 day agoStatus: Live

Job Summary

Direct and evaluate the care management team to develop and assess high-quality, cost-effective healthcare outcomes for members. Lead departmental operations, staffing, information technology use, and staff competencies; set goals and oversee care management reporting metrics with senior leadership. Ensure policies and procedures meet federal, state, and NCQA standards, drive process improvements, develop clinical care pathways, and build the department budget and the strategy for onboarding, hiring, and training the team.
Location: Oklahoma City, Oklahoma
Workplace: Onsite
Employment Type: Full time
Job Function: Executive & General Management
Seniority: Director level

Key Responsibilities

  • •Direct the care management team and care management of members to achieve high-quality, cost-effective healthcare outcomes.
  • •Oversee departmental operations, including care management model, staffing, information technologies, and staff competencies to meet performance and quality objectives.
  • •Set goals and objectives, and oversee care management data and reporting metrics in collaboration with senior leadership.
  • •Ensure care management policies and procedures are developed and implemented to comply with federal, state, and NCQA standards.
  • •Lead process improvements and develop clinical care pathways; contribute to onboarding, hiring, and training strategy and develop the department budget with inter-departmental collaboration.

Pay and Benefits

Salary: USD 121,500 - 224,900 annually
Equity and Bonus:Equity
Perks:Health Insurance401k

Key Requirements

  • •Bachelor's degree and 7+ years of related experience, including prior management experience.
  • •RN license required for Oklahoma Complete Health (Oklahoma Registered Nurse (RN) license or Compact Registered Nurse (RN) license).
  • •Nationally recognized case management certification required for Oklahoma Complete Health.
  • •Must reside within Oklahoma or be willing to relocate.
  • •Ability to oversee care management operations, compliance with regulatory and NCQA standards, and team performance and talent management.
Experience:7+ yearsHealthcare
Education:Bachelor's in Bachelor's degree
Skills:LeadershipStrategic planningProcess improvementCompliance managementTalent management
Licenses:Oklahoma Registered Nurse (RN) licenseCompact Registered Nurse (RN) license
Certifications:Nationally recognized case management certification

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn