Remote Supervisor, Care Management

Centene

Apply Now

Business Area: Clinical & Care Management
Job Type: Full time
Date Posted: Jun 10 2024
Job Number: 1501445

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
  • 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.
  • Performs other duties as assigned
  • Complies with all policies and standards

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.

For Delaware First Health Plan: Must reside in the state of Delaware. Home and site visits required

License/Certification: RN, LCSW, or LMSW required

Pay Range: $67,400.00 – $121,300.00 per year

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.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.