Job Summary

• This job supervises a team of Case Manager Supervisors who are charged with promoting quality member outcomes, optimizing member benefits, and promoting effective use of resources.
• The incumbent ensures care is medically appropriate, high quality, and cost effective and is accountable for the oversight development and maintenance of the department's case management processes.
• Supports an interdisciplinary approach to meeting members’ needs through a strong collaborative relationship with external stakeholders as well as internal departments including but not limited to Medical Directors, Behavioral Health Teams, Disease Management, and Utilization Review.

Matching Summary

Salary

Base: $94,200.00 - $151,000.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Key Requirements

• Bachelor's degree or 6 years experience
• 5 years clinical setting experience
• 3 years case management/managed care
• 3 years management/leadership role
• Licensed clinical professional
• RN licensure or multi-state compact

Work Rights