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

AppleOne Employment Services

Dispatchers Job at AppleOne Employment Services

 ...Our client is seeking Dispatchers to Effectively dispatch club owned fleet vehicles or contractors to provide efficient emergency road service in their Albany location. Education/Experience Requirement (s) : High School Diploma or equivalent Basic automotive knowledge... 

Realty ONE Group Unlimited

Agent Talent Relations Job at Realty ONE Group Unlimited

Job Overview TheAgent Talent Relationsrole focuses on identifying, attracting, and onboarding high-quality real estate agents who align with the brokerages culture and growth goals across South-Central Pennsylvania. This position builds strong relationships with productive...

B&H Photo Video

Facilities Warehouse Security Supervisor Job at B&H Photo Video

 ...fulfillment center. Capacity to remain calm in hostile or uncomfortable circumstances. Direct liaison with third party security guards for daily operations including, but not limited to, coordinating resources for open doors, escorts, responding to medical... 

Piramal Pharma Solutions

Chemical Operator Job at Piramal Pharma Solutions

 ...: Piramal Pharma Solutions HPAPI Research and Manufacturing facility located in Riverview, Michigan, is seeking a qualified Chemical Operator II to join our Production team. The Chemical Operator II is responsible for conducting chemical syntheses/manufacture of active... 

Pyramid Consulting, Inc

Research Associate II Job at Pyramid Consulting, Inc

 ...Immediate need for a talented Research Associate II . This is a 12+Months contract opportunity with long-term potential and is located...  ...Discovery Pathology is seeking a qualified individual to assist with the execution and analysis of microscopy-based cell, organoid...