The Supervisor, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Supervisor, Care Management works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach.
The Supervisor, Care Management oversees the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies.
Current RN license
3+ years of professional experience
Prior supervisory experience with ability to provide mentorship and coaching as needed
Proven ability to work independently and demonstrate critical thinking skills
Exceptional communication and interpersonal skills
Able to demonstrate proficiency with Microsoft Office Products
BSN or Bachelor's degree in a related field
Health Plan experience
Prior Medicare / Medicaid experience
Previous experience in utilization management, quality management or performance improvement
Call center or triage experience
Scheduled Weekly Hours
Equal Opportunity Employer
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