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Community Health Options · 1 day ago

Supervisor, Case Management

United States

Full-time

Remote

Mid, Senior Level

3+ years exp

Community Health Options is dedicated to effective healthcare management, and they are seeking a Supervisor for Case Management. This role involves supporting daily operations, ensuring compliance with regulations, and mentoring staff to promote quality outcomes in case management practices.

Health CareInsuranceNon Profit

Responsibilities

The Supervisor, CM supports the Sr. M and Assistant Manager in ensuring CM documentation platform configuration, integration, correspondence, reporting, and user access complies with all State & Federal regulation and National Committee for Quality Assurance (NCQA) standards

Closely collaborates with subject matters experts (SMEs) to inform system configuration and workflow preferences

Provides system education and supporting documents to facilitate efficient and effective use of MM systems

Supports Sr. Manager and Assistant Manager, MM as CM SME in the development and implementation of CM functionalities (notes, assessments, turn-around-times, workflows)

Performs periodic audits and quality assurance testing and system reviews as necessary and/or upon request of the leadership team

Monitors individual team member performance and provides mentoring and coaching as needed to promote consistent adherence to standards and shared ownership of quality outcomes

Maintains confidentiality in all aspects of Member, Health Options’ people and company information

Any other project work or supportive duties as assigned

Qualification

CCM designationRN licensureCase management experienceMicrosoft ProductsCommunication skillsProblem-solving skillsAttention to detailLeadership experience