Delaware First Health · 1 hour ago
Supervisor, Care Management
Delaware, United States
Full-time
Hybrid
Mid, Senior Level
$87K/yr - $161K/yr
4+ years expDelaware First Health is part of Centene, a diversified national organization focused on transforming the health of communities. The Supervisor of Care Management will oversee the care management team, ensuring effective delivery of care related to behavioral health needs and compliance with regulations.
Health CarePersonal HealthWellness
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
Master's degree or Graduate from an Accredited School of Nursing
4+ years of related experience
Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience required
Must reside in DE, PA, NJ or MD
Benefits
Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
Delaware First Health
Delaware First Health offers Medicaid-managed care plans, improving individual and community health and wellness.
0-1 employees
Funding
Current Stage
Early StageLeadership Team
Bill Wilson
Plan President and CEO
Tiffany (Aany) Tazmin-Ewing, FSA, MAAA
Chief Financial Officer
Recent News
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