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

VisioStack Inc.

Frontend Developer Job at VisioStack Inc.

 ...We are seeking a Frontend Software Engineer with strong web application development capabilities to join our team on a full time...  ...applications. The ideal candidate will be responsible for designing, developing, testing, and debugging responsive frontend web applications... 

C2 Graphics Productivity Solutions

Art Director Job at C2 Graphics Productivity Solutions

 ...client, a well-established, design-driven marketing company offering full-service print, mail and fulfillment, seeks a sharp, witty Art Director to support internal marketing and creative projects on an as-needed basis. This hybrid opportunity is ideal for a hands-on... 

MJI Energy Services Group, Inc.

Junior Building Automation Systems (BAS) Engineer Job at MJI Energy Services Group, Inc.

 ...and energy efficiency. Role Description This is a full-time, on-site role for a Junior Building Automation Systems (BAS) Engineer located in Ronkonkoma, NY. The responsibilities include assisting in the design, programming, testing, and commissioning of building... 

General Dynamics Information Technology

UiPath/RPA Solutions Developer Principal Job at General Dynamics Information Technology

 ...Own your opportunity to manage the network that makes mission success possible. Make an impact by using your skills to deliver One GDIT Network for our clients. Job Description Own your opportunity to turn data into measurable outcomes for our customers most complex... 

IMR Soft LLC

IBM WatsonX Full Stack Developer Job at IMR Soft LLC

 ...Conversational AI Engineer specializing in IBM WatsonX Orchestrate AI technologies. You will drive the end-to-end user experience for a next-...  ...-to-Text, Watson Discovery, or similar voice processing and information retrieval technologies. Familiarity with SSML (Speech...