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

BIGTREE VISION MANAGEMENT COMPANY

Back Office Executive Job at BIGTREE VISION MANAGEMENT COMPANY

 ...day-to-day administrative tasks Preparing and maintaining reports, files, and data Coordinating with departments for documentation Basic data entry and email drafting Supporting management in routine office work Managing office inventory and supplies... 

Leeds Professional Resources

Customer Service Representative Job at Leeds Professional Resources

 ...be able to remain calm when customers are frustrated and have experience working with computers. Pay $18/HR (Monday-Friday Day Shift)...  ...After successful training this position will become work from home. Additional Info: Must have reliable transportation and... 

Ariat International

Director, Work Brand Marketing Job at Ariat International

 ...seeking a self-motivated Work Brand Marketing Director to lead Ariats...  ...results. Collaborating with Digital Marketing and eComm Teams to...  ...role at this location at the time of this posting. This range may...  ...these benefits, in whole or in part, at any time without advance notice... 

Kyne Construction, Inc

Underground Utilities Project Engineer Job at Kyne Construction, Inc

 ...site visits to assist in monitoring progress and maintaining quality control. Foster and maintain relationships with General Contractors, engineers, designers, and other external project team members. Qualifications Construction Management degree helpful but... 

Skilled Trades Services

Pipe Welder Job at Skilled Trades Services

Skilled Trades Services is currently looking for Pipe Welders for Muscatine, IA area. Must be able to start ASAP. Must have 5 years of welding experience and show it on a resume in order to be considered for the position . This is an AG industrial site, will be doing...