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Supervisor Care Management

AmeriHealth Caritas

  • Southfield, MI
  • 2 days ago

    Highlights

    Role Overview: The Supervisor, Integrated Case Management, oversees the daily operations of the Case Management unit, providing clinical direction, guidance, and oversight of case management services. + 3 to 5 years of case management experience supporting care management in a clinical or managed care environment.

    Numbers & Facts

    LocationSouthfield, MI
    IndustryHealthcare Services
    Company Size5,000 to 9,999 employees
    Year Founded1985
    Websitehttp://www.amerihealthcaritas.com

    Description

    Role Overview: The Supervisor, Integrated Case Management, oversees the daily operations of the Case Management unit, providing clinical direction, guidance, and oversight of case management services.


    Work Arrangement:


    + Remote - Associate must reside in Michigan (MI)


    Responsibilities:


    + Provide daily oversight and clinical direction for the Case Management unit.

    + Supervise and support staff conducting case management, care coordination, and screening activities.

    + Monitor team performance, productivity, and quality to ensure compliance with organizational and regulatory standards

    + Assist in the implementation and execution of departmental goals, workflows, and operational plans

    + Serve as a resource to staff for clinical and operational guidance

    + Ensure timely and accurate documentation, reporting, and case management activities

    + Collaborate with internal teams and leadership to support member care and service delivery

    + Identify opportunities for process improvement and support workflow efficiencies

    + Participate in staff training, coaching, and performance management activities

    + Support occasional field work alongside care managers and community-based staff


    Education & Experience:


    + Bachelor’s of Science in Nursing with an unrestricted licensed Registered Nurse RN in MI required

    + Master’s degree in social work with a current, unrestricted MI LMSW or LCSW license

    + 1 to 3 years of supervisory or field leadership experience

    + 3 to 5 years of case management experience supporting care management in a clinical or managed care environment

    + Designation of Certified Case Manager is preferred.


    Licensure:


    + Unrestricted licensed RN in MI license or Master’s degree in social work with a current, unrestricted MI LMSW or LCSW license


    Skills & Abilities:


    + Strong clinical knowledge of case management and care coordination practices

    + Leadership skills with the ability to coach, mentor, and develop staff

    + Ability to manage multiple priorities in a fast-paced environment

    + Strong organizational and problem-solving skills

    + Knowledge of healthcare regulations, standards, and compliance requirements

    + Effective communication and interpersonal skills across cross-functional teams

    + Ability to analyze workflows and implement process improvements

    + Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint); Access a plus
    As a company, we support internal diversity through:

    Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

    About Company

    Leaders in health care solutions for those most in need

    AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.

    Our mission, our goal

    Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.

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