MANAGER, CARE COORDINATION DEPARTMENT
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a Manager to plan, organize, develop, and manage the work of the Care Coordination Department. Primary duties include the following:
- Manage licensed and unlicensed staff to maintain and continuously develop a care coordination program focused on ensuring high risk members receive timely and appropriate health services, including post-hospitalization and post-ED stabilization services, rehabilitation, transitional care and skilled nursing services, specialist services, home care services, comprehensive assessments, and care planning.
- Supervise the work of a team of nine staff, including: Nurse Case Managers, Social Services Case Managers, and Care Coordination Technicians.
- Research available internal and external resources. Serve as a liaison/coordinator between HPSM and San Mateo County community agencies, as well as between staff and departments within HPSM in order to match needs to resources.
- Continuously develop and update policies, procedures, and standards for the care coordination program.
- Establish and maintain collaborative working relationships with internal and external entities to ensure collaborative planning, resolution of problems, and open communication.
Requirements
Licenses and Certificate: A valid California license as a Registered Nurse. Certified Case Manager is preferred.
Education and experience equivalent to: A Bachelor’s degree in nursing or a related field. Five years of progressive managed care experience in the area of utilization management, case management, and coordination of care with community resources.
Knowledge of: Program development and implementation; regulatory compliance, Centers for Medicare and Medicaid Services (CMS) regulations, and Medicare and Medi-Cal programs; and care management and the desire and passion to improve healthcare outcomes for HPSM members.
Ability to: Supervise and mentor staff, analyze situations independently and make appropriate decisions; provide excellent customer service; establish and maintain effective interpersonal relationships with all levels of staff, other programs, agencies and the general public; coordinate/negotiate complex treatment plans with stakeholders; prepare written reports and maintain accurate records; communicate effectively, both verbally and in writing, with individuals from varying cultural and ethnic backgrounds; and effectively utilize computer and appropriate software (Word, Excel, Access and Outlook).
Other requirements: Must have own vehicle and valid driver’s license with proof of insurance in conformity with state law minimums.
Excellent benefits package offered, including HPSM paid premiums for employee’s coverage in the medical HMO plan and majority of PPO medical cost. Employee pays a small portion of the dependent premiums for medical and dental benefits. Additional HPSM benefits include fully paid vision, life, AD&D, STD, and LTD insurance; 457 Plan in lieu of social security (7.5% of salary/HPSM paid); retirement plan (10% of salary for compensation/HPSM paid); holiday and vacation pay; tuition reimbursement plan; and more.
To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 701 Gateway Blvd., Suite 400, South San Francisco, CA 94080. Email: careers@hpsm.org Fax: (650) 616-8039 File by: Continuous until filled. EOE
Located just south of San Francisco, HPSM is a non-profit health care plan that offers health coverage and a provider network to San Mateo County’s underserved population. We currently serve approximately 91,000 county residents through the following programs: Medi-Cal, Healthy Families, Healthy Kids, CareAdvantage (Medicare/Medi-Cal), San Mateo ACE/MCE, and HealthWorx.
