Coordinated Care Team Leader

Job Description:Affiliated Computer Services, Inc. (ACS) is expertise in action?. We are a FORTUNE 500 company with 63,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients. Our employees operate with integrity, and are flexible, reliable and responsive. If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.May perform one or more of the following: Participates in quality improvement strategies by assessing individual and employer satisfaction with programs.Identifies real or potential quality issues. Assists in the implementation and adherence to policies, procedures, and new programs related to case management and quality improvement. Utilizes available data to improve program and staffing performance. Utilizes predictive modeling data for case identification. Adheres to ethical principles and standards as described in the licensure, certification and/or URAC standards. Participates in continuing education (internal and external providers) in order to maintain active certification, licensure, and clinical/case management expertise. Conducts research as appropriate, to obtain/maintain knowledge of cultural differences including socioeconomic factors, cultural traditions, and spiritual beliefs. Performs all activities within the scope of licensure, certification, and Federal & State laws. Obtains/maintains knowledge of Federal, State, and Local regulations, funding and community resources available to patients and their families. Adheres to URAC Standards for programs the Company is currently accredited. Participates in professional nursing organizations as appropriate. Conducts annual performance appraisals with staff. Establishes development and/or performance improvement plans, including training, with staff, as needed. Provides support, guidance, leadership, and motivation to achieve maximum performance of staff. Addresses/administers personnel-related issues.Conducts employee discipline/counseling as needed.Makes personnel termination recommendations to immediate supervisor. Participates in the recruiting/hiring of new employees.Interviews prospective new employees, recommends candidates to be hired. Collaborates with other departments to promote coordination and communication within the Company regarding integration of administrative activities, quality improvement, and clinical operations. Conducts research and assists in developing new Company policies and programs.Assists in evaluating and refining current existing policies and programs. Monitors productivity reports to determine required staffing adjustments as needed. Functional Description:Oversees the daily activities and operations of the Coordinated Care Team,Will be responsible for a team members which provides all aspects of coordinated care including Customer Service, Utilization Review, Case Management and Disease Management services.Education and Typical Years ExperienceBSN or equivalent experience and trainingMinimum 3 years clinical experienceMinimum 3 years managed care experienceSupervisory experience a plusSpecial RequirementsUnrestricted WI RN license, CCM, CCP or related certification preferredAll other duties as assigned.ACS is an Equal Opportunity Employer and does not Discriminate against any applicant on the basis of race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with ACS may request such accommodations by calling or by sending an e-mail to accommodations@acs-.Job Experience:Oversees the daily activities and operations of the Coordinated Care Team, Will be responsible for a team members which provides all aspects of coordinated care including Customer Service, Utilization Review, Case Management and Disease Management services. BSN or equivalent experience and trainingMinimum 3 years clinical experienceMinimum 3 years managed care experience Supervisory experience a plus Special RequirementsUnrestricted WI RN license, CCM, CCP or related certification preferredExpected Travel Time: None Company: ACS inc Location: Franklin, WI 53132 Job Status/Type: Full Time, Employee Job Category: Medical/Health Industry: Other/Not Classified Occupations: Nursing Career Level: Experienced (Non-Manager) Company: ACS inc Reference Code: 15959