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School-Based Health Administrator

Expired Job

Caresource Indianapolis , IN 46218

Posted 4 months ago

Role and Responsibility:

  • Collaborate with other departments and business owners to improve quality of care to CareSource school-age members through implementation of quality initiatives and interventions

  • Develop and enhance CareSource relationships with school-based health centers (SBHCs) with the goal of providing accessible quality preventive and primary care services to school-aged CareSource members

  • Assist SBHCs in identifying gaps in care and expected outcomes in the health status of targeted populations

  • Participate in population health quality assurance and improvement activities with SBHCs

  • Enhance effectiveness of SBHCs' population health through a variety of member health outcome and quality improvement techniques

  • Strategize with SBHCs to develop and enhance the practice's engagement strategies for individual members

  • Link SBHCs to internal resources to ensure understanding of all operational and billing processes

  • Participate in driving and achieving established HEDIS initiatives as assigned

  • Support local presence by participating in community outreach programs/health events, meetings and other opportunities in the community

  • Participate in national and/or state school-based health coalitions/ committees and focus groups and provide input on behalf of CareSource regarding any suggested revision(s)

  • Participate in internal workgroups/committees to improve quality measures, accreditation and clinical monitoring outcomes

  • Assist in the determination of benchmarks, goals and outcomes for all school-based health programs

  • Assist in development and implementation of regional plans in collaboration with the regional leadership and population health analytics team

  • Identify trends and patterns using standard company processes, reports, tools and databases

  • Generate graphics that effectively describe, explore and summarize analyses for communication to appropriate parties

  • Provide education on available resources to SBHCs for population health management

  • Initiate and maintain ongoing professional contacts with physicians, area health facilities, community organizations and institutions

  • Educate and provide information on services, benefits and resources available

  • Collaborate to identify areas of opportunity to improve capabilities and partnership processes

  • Work independently under general supervision with considerable latitude for initiative and independent judgment

  • Look for ways to improve the process to make the members' experience with CareSource easier and share with leadership to make it a standard, repeatable process

  • Regular travel to conduct provider visits and community based visits as needed to ensure effective administration of the program

  • Perform any other job related instructions as requested


Education / Experience:

  • Bachelor's Degree in Health and Human Services, nursing, public health, or related field or equivalent years of relevant work experience is required

  • Minimum of three (3) years of experience in nursing, social work, public health or related healthcare field is preferred

  • Minimum of three (3) years of experience in school health, community health, Medicaid Managed Care, and/or similar setting is preferred

  • Experience working with data and data analytics is preferred

  • Experience working directly with providers is preferred

Required Competencies / Knowledge /

  • Analytic skills for solving problems

  • Word, Excel, and/or Access skills are required; SQL and/or SAS experience preferred

  • Ability to operate a smart phone, tablet, or other mobile communication devices to ensure productivity and ability to perform essential functions

  • Ability to act with diplomacy and sensitivity to cultural diversity

  • Strong interpersonal skills and high level of professionalism

  • Ability to maintain confidentiality and act in the company's best interest

  • Ability to work independently and within a team environment

  • Knowledge of quality management/statistical reporting

  • Change resiliency

  • Excellent conflict resolution skills

  • Customer service oriented

  • Critical listening and thinking skills

  • Excellent written and verbal communication skills

  • Knowledge of local, state and Federal laws and regulations

  • Knowledge of healthcare resources, benefits and entitlements throughout the state

  • Ability to develop, prioritize and accomplish goals

  • Proven track record for improving processes to make things easier for those you have served

Licensure / Certification:

  • Current unrestricted license in field of practice including (if applicable): Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the State of Service is preferred

  • Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated

  • Employment in this position is conditional pending successful clearance of a criminal background check. If the criminal background results are unacceptable, the offer will be withdrawn or, if employee has started in position, employment in this position will be terminated

Working Conditions:

  • Regular travel to different work locations is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time

  • A valid driver's license, car, and insurance are necessary for work related travel

  • Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer

  • Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our health partners

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School-Based Health Administrator

Expired Job