Meridian of Illinois · 13 hours ago
Supervisor, Care Management
Illinois, United States
Full-time
Hybrid
Mid, Senior Level
$87K/yr - $161K/yr
4+ years expCentene is transforming the health of our communities, one person at a time. The role involves supervising the care management team and ensuring effective care coordination for behavioral health members, while promoting quality care delivery and compliance with regulations.
Hospital & Health Care
Responsibilities
Monitors and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements
Assigns caseloads to care management staff based on state requirements, care management staff experience, and member needs
Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns
Educates and provides resources for care management team on key initiatives and member outreach
Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits
Monitors and review reports on a regular basis ensuring quality and productivity metrics are met and for case assignments, and may perform audits of staff on a regular basis
Assists with onboarding, hiring, and training care management team members
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
Must reside in the state of Illinois to support the Foster Care/Youth Care programs for Medicaid
Master's degree or Graduate from an Accredited School of Nursing
4+ years of related experience
For YouthCare Illinois plan only Graduate degree and IL licensure – RN or independently licensed behavioral health clinician (e.g. LCSW, LCPC, PsyD)
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Company
Meridian of Illinois
As a Medicaid MCO, Meridian of Illinois provides healthcare to beneficiaries enrolled in the Family Health Plan and Integrated Care Program through a contract with the Illinois Department of Healthcare and Family Services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Daniel Rich
Plan Chief Operating Officer
Company data provided by crunchbase