Job Description
Job Description: Better care is in the details. We need your inquisitive nature, big-picture viewpoint and strong ties to the medical community. Use your skills to coordinate with multiple providers and facilities to ensure our members get effective, integrated care. Coordinate care for our members.
Supervisor of Case Management 1 open position, can be based out of any of the following locations: Salem, OR, Portland, OR, Lewiston, ID, Salt Lake City, UT
Bring your clinical skills and strategic leadership abilities to this role where you will:
- Supervise case management and disease management professional and support staff
- Serve as a role model, mentor and resource for staff members
- Manage teams that work in multiple locations and via telecommuting technology
- Oversee and coordinate the activities of our care program, including coordinating activities with external vendors, employer groups and other organizations that provide member care or services
- Participate in the departmental strategic plan and budget development and promote achievement of department goals consistent with corporate objectives
- Assure that medically necessary, cost-effective quality care is delivered according to program specifications
Key qualifications and experience: - Current RN, PA, or NP License, or other professional certification in a clinical specialty. CCM Certification strongly preferred
- 3 years full time equivalent of direct clinical care and previous supervisory experience (or relevant experience leading and managing teams) are required
- Experience or familiarity with case management and disease management within the health plan / insurance arena is required
- Medicare background strongly preferred, particularly with the Medicare STARS program along with Knowledge of health insurance industry trends and new technology
- Experience with population statistics and their application in care management programs; Experience with program management preferred
- Vendor relationship management experience preferred
More Details: Our ideal candidate has a clinical background, is a certified case manager, and has experience in case management and disease
management working for another health insurance provider. They have stong leadership capabilities, and can effectively manage
staff working across multiple locations utilizing technology.
The ideal candidate has worked for these companies: Aetna, Cigna, United Healthcare, Intermountain Health Care, Molina Health care, HealthNet, Premera, Humana, other health insurance plans.
Job Tags
Full time, Remote job,