Supervisor Case Manager Long-term Care - Delaware (kent, Sussex, New Castle)

Highmark Health

Delaware, US
Base: $86,400.00 - $138,600.00; bonus/equity: not ...
Manage team of community based case managers
Ensure regulatory compliance with ncqa urac cms
Conduct ride-alongs and shadowing for quality assurance
This role manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and promote effective use of resources

Job Summary

  • This role manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and promote effective use of resources.
  • The position requires frequent travel within the assigned territory in Delaware to conduct hands-on support, quality assurance, and training opportunities.
  • Candidates must ensure direct reports meet process and documentation requirements to be compliant with regulatory agencies including NCQA, URAC, CMS, DOH, and DOL.

Matching Summary

This role manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and promote effective use of resources.

Salary

Base: $86,400.00 - $138,600.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Manage team of community based Case Managers
  • Ensure regulatory compliance with NCQA URAC CMS
  • Conduct ride-alongs and shadowing for quality assurance
  • Apply clinical knowledge for care coordination
  • Develop staff performance improvement plans

Nice-to-have

  • Experience working with HIV/AIDS population
  • Experience with behavioral health populations
  • Experience with developmental disabilities population
  • Strong analytical and organizational skills
  • Cultural competency in addressing targeted populations

Key Requirements

  • Bachelor's degree in Social Work or related field with 3 years experience
  • Master's degree in Social Work or related field with 1 year experience
  • Registered Nurse or Licensed Practical Nurse with 2 years experience
  • Two years of supervisory or managerial experience preferred
  • Certified Case Manager (CCM) license preferred

Work Rights

Not specified

Tailored Resume

Cover Letter