Location

This position is full time 40 hours/week) MondayFriday from 8:00am5:00pm EST and will be hybrid in Columbia SC.

What You Will Do:

• Oversees case management clinical and support staff and operations. Supervises the development and administration of case management services ensuring regulatory contract national accreditation requirements are met.
• Selects trains develops and guides staff. Ensures excellent customer service is given to employees customers management etc. Manages and monitors department performance budget and resources. Provides training/feedback to peers and management on activities of department. Develops policies and procedures and communicates changes and updates to staff. ensures quality standards are met and identifies training needs of staff.
• Develops and implements quality initiatives compliance oversight corrective actions. Develops and implements tracking trending and cost containment initiatives.
• Participates in special projects for department and other areas.

To Qualify for This Position You Will Need:

• Required Education: Associates in a jobrelated field
• Required Work Experience: 5 years clinical and case management experience to include 3 years supervisory/team lead or equivalent military experience in grade E4 or above (may be concurrent).
• Required Skills and Abilities: Working knowledge of word processing spreadsheet and database software.
• Ability to work independently prioritize effectively and make sound decisions.
• Good judgment skills.
• Demonstrated customer service organizational and presentation skills.
• Demonstrated verbal and written communications skills.
• Demonstrated knowledge of planning programming and budgeting activities.
• Analytical critical thinking and math skills necessary to collect analyze and report data.
• Ability to persuade negotiate or influence others.
• Ability to handle confidential or sensitive information with discretion.
• Ability to direct motivate and assess performance of others.
• Required Software and Tools: Microsoft Office.
• Required Licenses and Certificates: Active unrestricted RN licensure from the United States and in the state of hire OR active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) or active unrestricted licensure as social worker counselor or psychologist from the United States and in the state hire (for Div. 75 only).

We Prefer That You Have:

• At least 3 years of Behavioral Health management experience.
• Experience with government contracts including but not limited to Medicare Medicaid or ACA.
• Health plan experience.
• Experience with clinical program development.
• Experience working in and reporting within a matrix environment.
• Experience working with the state department.

What We Can Do for You:

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave the longer you work here the more you earn.
• Nine paid holidays.
• Onsite cafeterias and fitness centers in major locations.
• Wellness programs and healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition.
• Incentive Plan.
• Merit Plan.
• Continuing education funds for additional certifications and certification renewal.

What to Expect Next:

After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancyrelated conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment please email or callext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a casebycase basis.

We participate in EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.

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