Supervisor Case Management Job at LMS Recruiting, Oregon, OH

c3V1eHVNWmh0VTlSMFhyd2pUT2pDZVR0NFE9PQ==
  • LMS Recruiting
  • Oregon, OH

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,

Similar Jobs

Annapolis Micro Systems

Electronics Assembler - 1st Shift Job at Annapolis Micro Systems

 ...dedicated to producing world-class quality electronic products? Annapolis Micro Systems is searching for dedicated and passionate Assemblers to join our production team and take pride in sending products to test with zero defects. Founded in 1982 and located in... 

Bacon Plumbing, Heating, Air & Electric

Journeyman Plumber Job at Bacon Plumbing, Heating, Air & Electric

Bacon Plumbing, Heating, Air & Electric is seeking a skilled tradesperson/Journeyman Plumber responsible for installing, maintaining, repairing and inspecting plumbing systems in commercial, industrial and/or residential settings. You will work independently as well as...

Apex Foundation Specialists

Outside Sales Consultant Job at Apex Foundation Specialists

 ...Saturdays may come up Staying sharp with training and team meetings What were looking for: 3+ years experience in construction, home services, or similar...  ...realistic $85,000 to $150,000 per year Paid training and ongoing coaching Health insurance... 

A-STAFFING, INC.

Translator - Japanese&English Job at A-STAFFING, INC.

 ...clients to facilitate shared understanding and achieve strategic goals. Role Description This is a full-time Japanese-to-English Translator role based in New York, NY. The Translator will work closely with both internal teams and clients to provide accurate... 

Titus Talent Strategies

Branch Manager Job at Titus Talent Strategies

 ...Performance Profile: Branch Manager We are partnering with a well-established electrical contracting organization in Cedar Rapids, IA that is seeking an experienced Branch Manager to lead one of its operating locations. This is a senior, onsite leadership role responsible...