Manager, Case Management

This is a fully remote position, open to applicants in Alaska, +26 more states.

📋 Description

• Contribute to the formulation of the Clinical Programs' strategy and planning in alignment with the organization's mission, strategic objectives, federal and state laws, and accreditation standards.

• Support the selection, training, evaluation, and professional development of paraprofessional and administrative team members.

• Lead Care Management teams to ensure effective job performance, which may encompass case management and delegated management oversight.

• Engage in the development and monitoring of budgets that align with departmental and organizational goals.

• Involved in the creation, execution, and assessment of departmental performance standards, employing quality improvement methodologies to enhance procedures.

• Cultivate a collaborative work environment that promotes team building and fosters cohesive, synergetic Case Management functions, while appreciating the individual diversity and uniqueness of all employees.

• Establish and maintain cooperative business relationships.

• Participate in processes and activities to guarantee operational compliance with regulatory requirements, including NCQA and OIC.

• Provide effective oversight and developmental support to team members to achieve productivity and meet expectations.

• Promote team building initiatives so that members feel connected to one another and the broader department.

• Manage deficits effectively with improvement plans and consistent follow-up.

• Utilize data effectively to monitor performance, identify opportunities, and address issues and opportunities in a timely manner.

⛳️ Requirements

• Candidates possessing an RN License are highly preferred.

• Current state credential (e.g., licensure) enabling the professional to conduct assessments independently within the discipline's scope of practice (Required): • For nurses, required registration (e.g., RN, ARNP). • For behavioral health professionals, required licensure (e.g., LMFT, LICSW, LPC, LMHC) • For psychologists, required board certification • For dietitians, required certification as a nutritionist or dietitian • Or licensure in a related healthcare discipline.

• Certification in CCM (Certified Case Management) or the ability to obtain certification within 24 months of hire (Required).

• A minimum of five (5) years of experience in case management or healthcare (Required).

• A minimum of three (3) years of management experience (Required).

• An advanced degree, such as a Master's Degree in a Health-Related field, is preferred.

• Familiarity with NCQA, URAC, or accreditation review processes.

• Experience in continuous process improvement and innovative problem-solving methods (e.g., LEAN, Synectic).

• Advanced training in Motivational Interviewing.

• Experience in training both clinical and non-clinical staff.

• Experience in managing case management teams and integrated case management models.

🏝️ Benefits

• Medical, vision, and dental coverage with low employee premiums.

• Optional benefit offerings, including pet insurance for pet owners.

• Life and disability insurance.

• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that vests after three years of service.

• Wellness incentives that provide a variety of mental well-being resources for employees and their dependents, including counseling services, stress management programs, and mindfulness initiatives, among others.

• Generous paid time off to recharge.

• Interested in continuing education? We offer tuition assistance for both undergraduate and graduate degrees.

• An employee recognition program to celebrate anniversaries, team achievements, and more.

• For our hybrid employees, our on-campus model provides the flexibility to create your own routine while having access to on-site resources, networking opportunities, and team engagement.

• Commuter perks to make your commute more environmentally friendly and budget-conscious.

• Convenient free on-site parking.

• Subsidized on-campus cafes that make lunchtime connections with colleagues enjoyable and affordable.

• Participate in engaging on-site activities including health and wellness events, coffee connects, disaster preparedness fairs, and more.

• Our complimentary fitness & well-being center offers both in-person and virtual workouts as well as nutritional counseling.

• Need a break? Challenge a colleague to a game of shuffleboard or ping pong while on campus.