Supervisor Care Management

Amerihealth Caritas Health Plan

  • Southfield, MI
  • 5 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. Licensure: Unrestricted licensed RN in MI license or Master's degree in social work with a current, unrestricted MI LMSW or LCSW license.

    Numbers & Facts

    LocationSouthfield, MI

    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

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