Director of Care Management - Illinois
2 hours ago
Job description
Telligen is seeking a dynamic and experienced professional to join our team as the Director of Care Management. This pivotal role will focus on directing all activities related to the care and case management of Class Members. The ideal candidate will ensure successful involvement of each Class Members' treatment team, adjusting assignments and partnerships, as needed.This position requires prior approval from the Healthcare Finance Services (HFS) and is contingent on award of the contract.
What you'll do:
- Lead and oversee contract(s) and assigned projects, ensuring timely and accurate completion within budget and to client satisfaction. Serve as an operational liaison between clients and Telligen.
- Manage client expectations and partner with stakeholders, as necessary, for a contract.
- Stay up to date on healthcare trends.
- Recruit, develop, and manage a professional team to achieve organizational goals.
- Ensure accountability through performance metrics and feedback.
- Prepare and manage budgets, ensuring cost-effective performance.
- Represent Telligen, inclusive of research and delivery of professional presentations.
- Direct all activities related to Care and Case Management.
- Monitor and analyze utilization of Class Members.
- Ensure continuity of treatment team responsibilities.
- Ensure productivity and caseload expectations are met.
- Perform additional duties as assigned.
Required Skills and Experience
- A four-year degree in healthcare management, nursing, or public health, or equivalent experience in health or human services roles
- 5+ years of experience in a healthcare environment
- 5+ years managing professional staff
- Proven experience in a fast-paced, deadline-driven environment
- Experience with Medicaid programs
- Prior approval by HFS (Illinois Department of Healthcare and Family Services) required
- Must be a Licensed Practitioner of the Healing Arts (LPHA) or otherwise approved by HFS
- Some contracts may require U.S. Citizenship
- Regular and predictable attendance required
- Travel: 15% local and overnight
Preferred Skills and Experience
- Knowledge of Illinois Medicaid and HFS regulations
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success. Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are. Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives. Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
If you need assistance to navigate Telligen's careers website or to apply for a position, please send an email to [email protected] We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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