Supervisor, Care Management - SNC

Other jobs >> General

Negotiable

Permanent

Description

Supervisor, Care Management - SNC

USA-Illinois-Westmont

Position Purpose: Responsible for day-to-day oversight of the

Integrated Care Managers and coordination of necessary resources for

members. This may include adequate clinical, behavioral,

acute/chronic, and social care services.

* Ensure staff is able to facilitate member and provider needs

through entire care management cycle.

* Partner with internal staff on key initiatives and outreach for

members as needed.

* Coordinate and communicate on access issues, assessments,

internal protocols.

* Implement policies and procedures through oversight for complex

cases and present to management

* Assist in recruitment efforts in accordance to the staff to

member ratio

* Coordinate the training of care management staff

* Facilitate on-going communication between care management staff

and providers

* Assign cases and oversee care management caseloads including

service care plan approval and member case file reviews

* Maintain compliance with federal and state regulations and

contractual agreements

* Supervise the daily activities of staff to promote quality

improvement and efficient methods

For Arizona Complete Health - Complete Care Plan:

* Compile and review multiple reports for statistical and financial

tracking purposes to identify case management trends and assist in

financial forecasting.

Education/Experience: Bachelor s degree in Nursing, Social Work,

Health Care Administration, related field or equivalent experience. 4+

years of social work, healthcare administration, patient/community

advocacy, care management , or combined care management and clinical

nursing experience. Previous experience as a lead in a functional area

or managing cross functional teams on large scale projects.

Licenses/Certifications: Licensed Clinical Social Worker (LCSW),

Licensed Marriage & Family Therapist (LMFT), Licensed Behavioral

Health Medical Practitioner, Licensed Professional Counselor, Licensed

Substance Abuse Counselor, Licensed Psychologist, or Registered Nurse

preferred.

Clinical & Nursing

Full-time
  • 1
  • Negotiable
  • None
  • None
  • Re-144453
  • Permanent
  • 1

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