What are the responsibilities and job description for the Senior RN Manager of Delegation Compliance position at Mental Health Association of Rochester?
Role Overview: The RN Manager of Delegation Compliance oversees care management and utilization management functions, ensuring compliance with program standards, federal, and health plan requirements. They lead implementation of delegated functions, including project planning, system readiness, reporting, training, and communication. The manager audits charts, develops corrective actions, and establishes workflows aligned with clinical protocols. They provide staff education, performance feedback, and foster a high-quality work environment. Collaboration with program leaders, health plan relations, and oversight of delegated entities are key responsibilities. The role also involves system configuration, report validation, and process improvement.
Qualifications & Skills: Candidates need a Bachelor's in Nursing, active RN license, and 5 years healthcare experience, with 2 years in supervision. CCM or equivalent certification is required or planned for within 12 months. Knowledge of Medicare/Medicaid, NCQA, managed care, and healthcare workflows is essential. Strong leadership, communication, organization, and problem-solving skills are critical. Proficiency in healthcare IT tools and the ability to work independently in a fast-paced environment are also required.
Qualifications & Skills: Candidates need a Bachelor's in Nursing, active RN license, and 5 years healthcare experience, with 2 years in supervision. CCM or equivalent certification is required or planned for within 12 months. Knowledge of Medicare/Medicaid, NCQA, managed care, and healthcare workflows is essential. Strong leadership, communication, organization, and problem-solving skills are critical. Proficiency in healthcare IT tools and the ability to work independently in a fast-paced environment are also required.