Meridian of Illinois ยท 22 hours ago
Supervisor, Care Management
Illinois, United States
Full-time
Remote
Mid Level
$84K/yr - $155K/yr
4+ years exp
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Responsibilities
Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs.
Supervises day-to-day escalations and care management issues related to members or providers.
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
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Required
Master's degree or Graduate from an Accredited School or 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
Knowledge of care coordination and foster care, DCF
Benefits
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
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.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Daniel Rich
Plan Chief Operating Officer
Company data provided by crunchbase
