Assistant Manager - QA Assessment & Care Manager RN
more than 180,000 people in over 40 countries, Capgemini is a global leader in
consulting, technology and outsourcing services. The Group reported 2015 global
revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and
delivers business, technology and digital solutions that fit their needs,
enabling them to achieve innovation and competitiveness. A deeply multicultural
organization, Capgemini has developed its own way of working, the Collaborative
Business Experience™, and draws on Rightshore®, its worldwide delivery model.
more about us at www.capgemini.com.
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is an Equal Opportunity Employer encouraging diversity in the workplace. All
qualified applicants will receive consideration for employment without regard
to race, national origin, gender identity/expression, age, religion,
disability, sexual orientation, genetics, veteran status, marital status or any
other characteristic protected by law.
is a general description of the Duties, Responsibilities and Qualifications
required for this position. Physical, mental, sensory or environmental demands
may be referenced in an attempt to communicate the manner in which this
position traditionally is performed. Whenever necessary to provide individuals
with disabilities an equal employment opportunity, Capgemini will consider
reasonable accommodations that might involve varying job requirements and/or
changing the way this job is performed, provided that such accommodations do
not pose an undue hardship.
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Location: Pensacola, FL
QA Assessment & Care Manager RN
a quality review process, the QA assessment RN will provide quality
assessments to both internal and external CHCS Service Inc customers. The QA
Assessment RN is responsible for delivery of prompt and courteous service in
a professional level and is responsible for ensuring the quality and
consistency of Telephonic Health Interviews (Phi's), Face-to-Face Interviews
and On-site Assessments as well as clinical supervision of Care Manager’s
documentation on the client’s medical record..
Responsibilities / Accountabilities:
the following. Other duties may be assigned.
outbound calls to field nurse assessors, answers inbound calls from nurses
for all follow up on assessments that are not complete have inconsistent
information or quality issues. Record and maintain detailed notes to identify
the status of each open assessment.
all and any opportunities to enhance production, quality and performance.
all records with accuracy and quality.
to any internal and external customer inquiries in a timely and professional
and QA’s a random selection of 25 RN assessments monthly
Telephonic Health Interviews as assigned.
and QA’s Face-to-Face Interviews and On-site Assessments as assigned.
additional training to field nurse assessors by phone as indicated
identifies quality issues of documentation on the Comprehensive Assessment
Summary (CAS) and Status Summary, completed by the Care Managers.
other additional duties as assigned.
Licensed to practice as a Register Nurse in the
state of residence with five or more year’s clinical experience.
BSN degree and/or CCM certification a plus.
Clear verbal communication
and written skillsExcellent customer service
skills.Experience within the
Insurance or Medical Industry preferred but not required.Basic knowledge of
Windows, Excel and Word. Adept at using multiple computer applications-working
Capgemini Values, Diversity, Life Balancing, Professional Integrity, Client
Value & Service Excellence, Collaboration, Flexibility, Initiative,
Resilience, Continuous Learning & Self Development
Management, Attention to detail, Conflict Management, Decision Making &
Judgment, Communicating, Presentation, Influencing
& Organizing, Managing & Controlling, Requirements Assessment,
Analytical Problem Solving, Solution Design, Project Closure, Documentation
Acquisition, Leadership Conduct, Managing Others, Developing Others
Acquisition & Development:Managing Relationships, Executive
Interaction, Client Organizational Awareness, Generating & Transforming
& Capability Growth:Awareness of External Environment, Innovation, Capgemini
Business Acumen, Knowledge Sharing / Leveraging Knowledge, Reuse,
Planning & Execution, Global Perspective,Visionary leadership
Awareness and Leveraging:Technology Awareness, Technology Leverage
Role Specific Competencies
Master (role model)
consistent excellence in applying
thought leader on this competency
Experienced (extensive practical application
consistent achievement in applying
routinely sought out to coach others in the application of this competency
Proficient (practical application and experience)
applied this competency independently in
of coaching others in the application of
Progressing (limited practical application
this competency but still require guidance to perform successfully
Baseline (theoretical knowledge)
developing this competency and have completed formal training or on-the-job
limited or no applied experience in this competency and require a high level
of guidance to perform successfully
competency is not applicable to the grade/role