Maternity Case Management Supervisor (PST or MST time zone)

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Description

Job Role:

The Case Management (CM) Supervisor of Maternity is primarily responsible for managing the CM staff in the day-to-day operations of the department. This includes oversight and adjustment of work queues to maintain workflow balance; monitoring and facilitating adherence to department and company metrics; training of new hires and current staff; and various other duties to support the case management staff and the company program. The Supervisor also assesses the CM Maternity program for opportunities to improve efficiencies and/or improve outcomes.

Reporting to the Manager of Maternity CM, the Supervisor will work closely with the management staff and plays a key role in implementing the culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission.

Responsibilities:

• Supports team members and clients in the day-to-day operations of Maternity CM Department.
• Meets with staff regularly to touch base, get feedback and to hear and address their concerns or issues.
• Oversees team caseload in the medical management system and consults with staff to adjust as needed. This includes regular case review (in addition to staff assessments).
• Provides coverage for CM caseload as needed for emergency coverage.

Requirements

Qualifications:

• Registered Nurse (RN) with a current, unrestricted license is required.
• BSN is strongly preferred.
• Three or more years of experience in a Case Management role is required.
• Previous experience in a Maternity case management program preferred.
• Experience in a team lead or supervisory role managing nursing staff is desired.
• CCM certification required within the timeframe specified by company policy.
• Must be available to stay late, as needed, to manage staff and caseloads.
• Experience with NCQA standards preferred.
• Must have demonstrated strong problem-solving skills.
• Must have proven track record of utilizing tact, diplomacy, and strategic thinking in addressing issues and changes in company policy, etc.
• Must be self-motivated and willing to learn multiple tasks.
• Must be well organized and able to prioritize tasks.
• Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc.)
• Must demonstrate accuracy in spelling and documentation.
• Must have commitment to excellence in customer service.

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.