Centene Corporation Supervisor, Care Management in Detroit, Michigan
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
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.
Licensed Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), Licensed Behavioral Health Medical Practitioner, Licensed Professional Counselor, Licensed Substance Abuse Counselor, Licensed Psychologist, or Registered Nurse preferred.
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.
TITLE: Supervisor, Care Management
LOCATION: Detroit, Michigan
COMPANY: Clinical & Care Management
POSITION TYPE: Both
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