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Manager, Health Homes - Clinical in Charleston, WV at KEPRO

Date Posted: 2/17/2018

Job Snapshot

Job Description

KEPRO is a rapidly growing national qualityimprovement and care management organization. We work to ensure that over 1billion people receive the right care, at the right time, in the right setting. 


Manager, Health Homes

Implements and directs the day-to-day ASO operations for the Health Homes Program.  Works with the WV Departmentof Health and Human Resources Bureau for Medical Services to consult, refineand expand the Health Homes project and promote the program to providers andthe community.

  • Lead the daily operations of the program andcollaborate with various other internal and external departments/stakeholders.
  • Manage provider communications and providerparticipation. 
  • Promote provider and member participation.  
  • Educate providers regarding policies,practices and use of KEPRO’s software.  
  • On-goingcoordination/consultation with the Client (BMS) for the design, implementation,policy development and roll out of additional HH projects.  
  • Ensure all ASO functions are performed tohighest standards & contract deliverables are met including dailyoperations and staff supervision.  
  • Collaboratewith other APS-WV programs/contracts as needed. Participate in the developmentof the RFP’s and/or scopes of work. 


QUALIFICATIONS

  • Mastersin social work, counseling or psychology and fully licensed in thecorresponding field at the master’s degree level.  
  • Active, unrestricted West VA RN license
  • Utilization Management skills with Medical &/or Behavioral service requests.  
  • Ability to research, design and implementPolicy per the client’s requirements.  
  • Abilityto design, prepare and present training/education to providers & relatedstakeholders. 
  • Experience with performing clinical records reviews. 
  • Microsoft, Power Point andExcel experience. 
  • Must be able totravel- possess driver’s license, proper insurance and vehicle. 


KEPRO offers challenging careers, excellentbenefits and opportunities for advancement.  For consideration, pleasesubmit resume and cover letter with salary requirements. Only thosecandidates identified for an interview will be contacted. No PhoneCalls Please.  Visit our website at www.kepro.com for more informationon the KEPRO Family of Companies.  

EOE AAM/F/Vet/Disability

KEPROis an E-Verify employer. E-Verify is an internet based system operated by theDepartment of Homeland Security (DHS) in partnership with the Social SecurityAdministration (SSA) that allows participating employers to electronicallyverify the employment eligibility of their newly hired employees in the UnitedStates.


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