drjobs Supervisor Case Management

Supervisor Case Management

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1 Vacancy
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Job Location drjobs

Portland - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Job Description:

Better care is in the details. We need your inquisitive nature bigpicture 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 costeffective 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.



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Manager

Employment Type

Full Time

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