Remote Supervisor, Care Management, Michigan

Centene

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Business Area: Clinical & Care Management
Job Type: Full time
Date Posted: Jan 25 2024
Job Number: 1485408

Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

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

***Ideal candidate will have an RN license in Michigan and previous lead or leadership experience.

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.

Pay Range: $66,100.00 – $118,900.00 per year

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.