Description

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.

Responsibilities

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.

Required Qualifications

• Current RN license
• 3 or more 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
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Able to demonstrate proficiency with Microsoft Office Products

Preferred Qualifications

• 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
• Bilingual

Additional Information

Scheduled Weekly Hours

40