Sign upLog in

Supervisor Integrated Care Management

AmeriHealth Caritas

Baton Rouge, LA

Apply
JOB DETAILS
SKILLS
Case Management, Certified Case Manager (CCM), Clinical Practices/Protocols, Coaching, Communication Skills, Contract Management, Cross-Functional, Diversity, Documentation, Healthcare, Internal Audit, Interpersonal Skills, Leadership, Maintain Compliance, Managed Care, Mentoring, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Word, Multitasking, Nursing, Operations, Operations Planning, Organizational Skills, People Management, Performance Analysis, Performance Management, Problem Solving Skills, Process Improvement, Project Tracking, Registered Nurse (RN), Regulations, Regulatory Compliance, Service Delivery, Staff Training, Time Management, Workflow Analysis
LOCATION
Baton Rouge, LA
POSTED
5 days ago
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 Louisiana (LA)


Responsibilities:


+ Provide daily oversight and clinical direction for the Complex 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

+ Manage and track case management programs

+ Complete internal staff audits

+ Monitor contract compliance

+ 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

+ Management and oversight of specialist projects as required.


Education & Experience:


+ Bachelor of Science in Nursing is required

+ Unrestricted licensed Registered Nurse (RN) in LA

+ 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 LA 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, and Teams)
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 the Company

A

AmeriHealth Caritas

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.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.amerihealthcaritas.com