Member Services Manager jobs in Albany, GA

Member Services Manager is responsible for daily activities in the member services function for a health plan or health maintenance organization (HMO). Collects data on member inquiries and service requests and conducts analysis to identify trends and recommend solutions. Being a Member Services Manager ensures service representatives follow established policies for addressing member inquiries and meet service quality goals. Manages the recruitment, hiring, training, scheduling, and performance management of staff. Additionally, Member Services Manager requires a bachelor's degree. Typically reports to a head of unit/department. The Member Services Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Member Services Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Day Services Manager
  • Easterseals Southern Georgia, Inc.
  • Albany, GA OTHER
  • Job Details

    Job Location:    Albany Office - Albany, GA
    Position Type:    Full Time
    Salary Range:    $17.95 - $17.95 Hourly

    Description

    Job Summary: Manages the day to day operations of the day services program. Manages, trains, and schedules staff to provide participant support.

     

    Job Duties & Responsibilities:

    • Develop quality programming that is culturally relevant, age appropriate, maximizes independence, and individual choices while being engaging and rewarding for each individual.

    • Insure that staff are trained on the established operational plan and curriculum for each location that focuses on key concepts: community exploration, communication, social interaction, daily living skills, recreation, leisure, job sampling, and self advocacy.

    • Insure all properties remain in compliance with all applicable standards and regulations.

    • Develop knowledge of community resources available to individuals.

    • Work with Families, Site Leaders, Support Coordinators, Regional Boards, and other Service Providers as needed to provide optimal participant care as outlined in ISP.

    • Assist with participant correspondence including applications and other paperwork as required.

    • Conduct visits to all properties for scheduled and unannounced review of participant supports at least weekly and as needed when participants are on premises.

    • Health Risk Screening Tools (HRSTs) are updated annually and as needed for changes in diagnosis, medications, physician visits and hospitalizations.

    • Update Individual Risk Mitigation Plan (RMP) annually or as needed and submit to the Compliance Department for review and inclusion in the electronic file.

    • Collaborate with HR to interview and select qualified staff.

    • Train and supervise Site Leaders on responsibilities and duties.

    • Insure that all staff receives proper introductory training with the Site Leader and that required documentation was submitted by the Site Leader.

    • Meet any new staff member, within the first week, of the date that he/she is scheduled to complete on-site orientation.

    • Monitor staffing for each site to address staffing needs and collaborate with the Program Director to insure proper coverage.

    • In the absence of any DSPs will assume duties and responsibilities of those shifts when replacements can not be identified.

    • Insure that all staff maintains current required certifications including, but not limited to CPR, First Aid, Defensive Driving, Professional Certification, and/or Licensing.

    • Complete all scheduled training courses to insure requirements are met and remind staff working in this program of upcoming deadlines to help insure overall compliance.

    • Schedule, plan and conduct monthly team meetings for each location.

    • Provide on-going, effective performance management to all staff including progressive discipline and annual evaluations with input from Site Leaders as needed.

    • Assess staff training needs and provide individualized coaching to responsible parties to insure compliance.

    • Operate properties within projected budget to insure program efficiency.

    • Submit travel reimbursement for all travel bi-weekly.

    • Review and approve travel reimbursement submitted by staff for all travel bi-weekly.

    • Maintain cleanliness and functional operation of assigned office area.

    • Attend board meetings as appropriate.

    • Collaborate with Program Director for intake and evaluation of potential participants.

    • Follow Health Insurance Portability and Accountability Act (HIPAA) privacy rule to insure participant protected health information is secure.

    • Maintain knowledge and understanding of Easterseals Southern Georgia, Inc. policies and procedures.

    • In the absence of the Director of Residential and Day Services, may assume day program duties and responsibilities of this position.

    • Maintain contact with participant's families as needed and required.

    • Provide updated HRST and attached training recommendations to staff for each individual in the program.

    • Attend ISP and/or Addendum meetings and provide adequate feedback regarding individualized services and care.

    • Attend SIS meetings and provide adequate level of supports needed to ensure appropriate funding per individual.

    • Attend all Behavior Support Plan meetings when needed.

    • Insure all individuals receive care that is in compliance with all applicable standards and regulations.

    • Insure all participant rights are appropriately respected and honored as well as report any violations.

    • Review participant goal tracking weekly to ensure that all services are provided and documented in accordance with participant ISP.

    • Review and approve participant attendance in Therap no less than weekly.

    • Monitor and review electronic documentation weekly to insure that all staff notes have been entered.

    • Insure electronic participant records, medications, and monthly MARS are accurate and accessible to staff.

    • Insure all annual paperwork is complete and part of the electronic file.

    • Insure Site Leader has submitted HRST/RMP signature sheets when changes occur as well as required annual medical documents to Compliance Coordinator for the electronic file.

    • Review all assessments and insure follow-up on all recommendations provided by Regional I&E Teams.

    • Monitor and insure participant health, safety, development and quality of care.

    • Review and assist in obtaining needed corrections for General Event Reports. Will also assist with Critical Incident Report information as necessary, to insure these are submitted within established guidelines.

    • Work with Site Leaders to plan activities, outings, or other events that connect individuals with community involvement and natural support building opportunities.

    • Utilize community and any other resources available to insure all individual needs are met.

    • Promote awareness of other Easterseals Southern Georgia, Inc. services which may be applicable such as Family Support, Residential, or Vocational Services.

    • Work to identify the need for Additional Staffing Services and assist with Requests and Renewals as needed for additional funding and to insure appropriate funding.

    • Review participant satisfaction survey results & implement changes as needed.

    • All other duties as assigned.

     

    DDP Duties & Responsibilities:

    • Overseeing the services and supports provided to participant for general guidance to the provider agency in areas of compliance and quality improvement;

    • Assuring that the supports provided are within the scope of the agency's service enrollment and experience to assure effective delivery;

    • Assuring that the services address the participant's needs and adhere to the application of person centered values, choice and participant's rights;

    • Providing, arranging or overseeing curricula used in staff training and directed to service delivery in the context of the individual's goal(s) and objectives;

    • Recommend other needed services/supports or changes to the delivery model using a continuous quality improvement approach;

    • Providing consultation to the provider agency in ISP implementation strategies that are specific, measurable, achievable, relevant, realistic and time limited in order to meet the needs and personal goal(s) of the participant;

    • Assess areas of risks either individually or overall risks to persons supported through agency practice, policy or lack of policy or procedures/protocols. Providing risk mitigation strategies to the provider agency;

    • Reviewing that functional assessments are in place to support formulation of the participant's plan for delivery of all waiver services that include: The Health Risk Screening Tool; The Supports Intensity Scale; Functional Behavioral Evaluation; Others (E.g., Nursing, OT, PT etc.) as needed or required.

    Oversee high intensity services if applicable that address health and safety risks for the participant's that includes: • The implementation and effectiveness of Behavior Support Plans;

    • The implementation and effectiveness of the Participant's Crisis Plan; and

    • Identifying ongoing supports as needed (medical and /or behavioral) in collaboration with agency staff, staff of other agencies providing supports to the participants mutually served or other members of the healthcare team.

    • The provision of DDP oversight must be documented in the individual’s record no less than quarterly. This documentation should include: all necessary face-to-face individual visits, other contact, or communication with or on behalf of the individual;  the purpose of the visit or contact, assessment or evaluation, training, plan for intervention, and any changes in service delivery such as change in staff recommendations.

     

    Essential Functions:

    • 24 hours a day / 7 days weekly availability for emergency situations only.

    • Travel to multiple ESSG properties for site management, meetings and events.

    • Ability to lift, push and pull a minimum of 50 pounds.

    • Ability to speak publicly for various groups to advocate for ESSG mission, vision, values and residents.

    • Use of technology and office equipment including, but not limited to laptop, email, fax, printer, Microsoft Office Suite, Paycom, PolicyStat, Thearp, QuickMAR, and other resident records management systems.

     

    Job Specifications (Characteristics to perform successfully):

    • Exhibit a high standard of leadership to effectively manage assigned territory of resident case load and staff.

    • Require and insure a high standard of resident care from staffing team.

    • Ability to effectively multi-task and execute expectations from different departments.

    • Maintain objectivity in position in order to set appropriate limits while working with residents.

    • Work cooperatively and responsively with ESSG Leadership to ensure optimal care of residents.

    • Develop and maintain positive and productive relationships with residents, families, coworkers, support coordinators, and community members.

    • Ability to manage time effectively and exhibit organizational skills.

    • Support residents in personal growth and development while respecting differences.

    Qualifications


    • Bachelor's Degree in Sociology, Psychology or related field of study.

    • 2 years professional work experience in residential disability services.

    • 2 years managerial experience.

    • CPR/AED certification.

  • 10 Days Ago

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Crew Member (Traffic Flagger)
  • Flagger Force Traffic Control Services
  • Cobb, GA FULL_TIME
  • Are you up for a new challenge every day?Hiring Immediately! Apply today!Flagger Force is hiring Crew Members (Traffic Flaggers) in your area to help keep communities moving.As an entry-level crew mem...
  • 16 Days Ago

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Cook - PRN Dining Services Team Member
  • UHS
  • MOULTRIE, GA OTHER
  • Responsibilities Dining Services Team Member - PRN CookTurning Point Care Center has an opening for a PRN Cook on our Dining Services Team. (PRN scheduled days will vary.) Our cooks are responsible fo...
  • 6 Days Ago

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Compensation Manager
  • System Administrative Services Corporate
  • Albany, GA FULL_TIME
  • SUMMARYResponsible for management of the CHSGa Compensation Program in compliance with internal policies and procedures and government regulations. This position also monitors and analyzes market cond...
  • 1 Month Ago

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Area Manager
  • Westlake Services, LLC
  • Tifton, GA FULL_TIME
  • Area Manager Tifton, GA| Remote About Westlake Financial Westlake Financial Services is the largest privately held auto finance company in the Nation. We are committed to growing and strengthening our...
  • 21 Days Ago

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Branch manager ii
  • Lendmark Financial Services
  • Douglas, GA FULL_TIME
  • SUMMARY The role of Branch Manager is responsible for the administration and efficient daily operation of a full service branch office, including operations, lending, product sales, customer service, ...
  • 8 Days Ago

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0 Member Services Manager jobs found in Albany, GA area

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Respiratory Therapist - $31-41 per hour
  • Phoebe Putney Health System
  • Albany, GA
  • Phoebe Putney Health System is seeking a Respiratory Therapist for a job in Albany, Georgia. Job Description & Requireme...
  • 4/18/2024 12:00:00 AM

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Registered Nurse (RN) - Educator - $31-41 per hour
  • Hiring Now!
  • Albany, GA
  • Phoebe Putney Health System is seeking a Registered Nurse (RN) Educator for a nursing job in Albany, Georgia. Job Descri...
  • 4/18/2024 12:00:00 AM

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Security Officer
  • Tower Eye Services LLC
  • Albany, GA
  • Job Description Job Description Tower Eye is a security company based in Marietta, GA. We are recruiting professional ar...
  • 4/18/2024 12:00:00 AM

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Amazing Expanded Function Dental Assistant
  • Mann Dental Care LLC
  • Albany, GA
  • Job Description Job Description Are you passionate, high energy, sincere, and caring? Would you like to work in a positi...
  • 4/18/2024 12:00:00 AM

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Service Advisor - Truck Care
  • Loves Travel Stops & Country Store
  • Cordele, GA
  • Req ID: 433138 Address: 1525 E. 8th Ave Cordele, GA, 31015 Welcome to Love’s! OBJECTIVE: Service Advisors drive sales su...
  • 4/15/2024 12:00:00 AM

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340B Client Relationship Coordinator
  • Draffin & Tucker LLP
  • Albany, GA
  • Job Description Job Description SUMMARY Perform a variety of project management tasks for the 340B compliance services t...
  • 4/15/2024 12:00:00 AM

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Part Time Customer Experience Manager
  • Michaels Stores, Inc.
  • Albany, GA
  • Store - ALBANY, GA Deliver a customer centric shopping experience by managing and delivering effective front-end operati...
  • 4/14/2024 12:00:00 AM

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Greeter
  • Walmart
  • Americus, GA
  • **Job Summary:** As a Greeter at Walmart, you will be the first point of contact for customers as they enter the store. ...
  • 4/14/2024 12:00:00 AM

Albany is a city in the U.S. state of Georgia. Located on the Flint River, it is the seat of Dougherty County. Located in southwest Georgia, it is the principal city of the Albany, Georgia metropolitan area. The population was 77,434 at the 2010 U.S. Census, making it the eighth-largest city in the state. It became prominent in the nineteenth century as a shipping and market center, first served by riverboats and then by railroads. Seven lines met in Albany, and it was a center of trade in the Southeast. It was part of the Black Belt, the extensive area in the Deep South of cotton plantations....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Manager jobs
$77,541 to $103,444
Albany, Georgia area prices
were up 1.5% from a year ago

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