Supervisor, Care Management

This is a fully remote position, open to applicants in Oklahoma.

📋 Description

• Develop and oversee designated members of the Care Management Team under the guidance of the Director of Health Services.

• Determine, strategize, devise, organize, execute, and assess SNP and other programs for high-risk, high-utilization members.

• Select, onboard, and cultivate skilled personnel for the Care Management Department.

• Maintain and oversee departmental processes to ensure timely outreach and management of identified members.

• Review reports to assess outcomes and the effectiveness of programs.

• Analyze outcomes and utilize data to create processes that enhance program effectiveness.

• Identify training requirements and facilitate education and training sessions.

• Regularly communicate with staff through team meetings.

• Act as a resource for all lines of business.

• Communicate with the Director of Health Services regarding departmental matters, performance improvement opportunities, member issues, program status, and compliance concerns.

• Supervise members of the Care Management Team.

• Safeguard confidential business information and Protected Health Information (PHI).

⛳️ Requirements

• Active Registered Nurse license in the state of Oklahoma is required.

• Active multi-state RN license is preferred.

• Previous experience in managed care or utilization management is preferred.

• Knowledge of contemporary nursing processes, techniques, and established standards, including disease management, medications, and community resources.

• Strong attention to detail along with excellent organization and time management skills, including the ability to multitask, acquire new skills, and achieve set objectives.

• Demonstrated organizational, leadership, problem-solving, and decision-making abilities.

• Effective oral and written communication skills are essential.

• Proficiency in Microsoft software programs, including Word, Excel, and PowerPoint.

• Proven capability to work independently or collaboratively as part of a team.

• Must have access to a reliable and secure internet connection.

• Must maintain confidentiality of business information, including Protected Health Information (PHI), as mandated by HIPAA and company policies.

• Must comply with GlobalHealth privacy and security regulations.

🏝️ Benefits

• Affordable health insurance coverage.

• Occasional travel may be required.