Facebook ยท 1 day ago
Behavioral Health Care Management Supervisor
Columbia, South Carolina
Full-time
Hybrid
Senior Level
5+ years expBlueCross BlueShield of South Carolina is currently hiring for a Behavioral Health Care Management Supervisor. In this role, you will supervise daily functions across various healthcare management areas and ensure appropriate levels of healthcare services are provided.
Computer Software
Responsibilities
Supervises day-to-day activities for assigned staff
Identifies training needs of staff
Verifies accuracy, efficiency, and effectiveness of workflow functions
Develops and oversees the implementation and administration of specialty programs (wellness, preventive, and/or employer work site programs)
Supervises staff to include approval of time, leave, performance reviews, etc
Selects/trains/motivates staff in providing excellent customer service with customers, marketing, management/others
Develops/maintains/updates procedures/documentation for conducting audits
Develops/communicates department standards and expectations of staff
Performs quality control functions for work performed
Develops work plans to improve quality performance
Conducts analysis of program component
Collects data for outcomes reporting
Prepares/reviews/maintains weekly/monthly reports for management
Oversees all data collection and URAC/NCQA compliance activities for related programs
Coordinates with other corporate departments to ensure effective communication
Qualification
Required
Associate's in a job-related field
Graduate of Accredited School of Nursing
5 years A combination of health promotion, health education, health insurance, clinical, medical, pharmacy or other healthcare experience. If Master's Degree, required experience is three years
One year experience in team lead/leadership role or equivalent military experience in grade E4 or above (may be concurrent)
Understanding of insurance and benefit programs as it relates to health management coverage
Working knowledge of managed care and/or various forms of health care delivery systems
Knowledge of specific criteria/protocol sets and the use of the same
Knowledge/understanding of the quality improvement process
Ability to work independently, prioritize effectively, and make sound decisions
Excellent communication skills
Ability to work with a wide variety of internal and external customers
Good judgment skills
Demonstrated customer service, organizational, and presentation skills
Demonstrated verbal and written communication skills
Analytical, critical thinking, and math skills necessary to collect, analyze, and report data
Ability to persuade, negotiate, or influence others
Ability to handle confidential or sensitive information with discretion
Ability to direct, motivate, and assess performance of others
Microsoft Office
Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC); OR, active, unrestricted Professional Healthcare Licensure and/or Certification from the United States and in the state of hire, in area of specialty; OR, active, unrestricted licensure as Licensed Master Social Worker, Licensed Independent Social Worker, or Licensed Professional Counselor from the United States and in the state of hire; OR, if Master's in Public Health or Healthcare Administration, three years of additional experience in health-related field
Must be certified in Case Management by a URAC accrediting body within 3 years of hire into the position (for non-Medicaid only)
Preferred
Previous Case Management experience
Previous Managed Care experience
Previous experience working with complex behavioral health conditions
Benefits
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase