Manager, Care Management
About The Position
The Manager, Care Management serves as the strategic leader for the Care Management team. This role oversees the assessment and evaluation of members' needs to achieve and maintain optimal wellness states by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Manager will make decisions regarding resources, approach, and tactical operations for projects within their departmental area. This role requires cross-departmental collaboration, conducting briefings and area meetings, and maintaining frequent contact with other managers across the department. The Manager, Care Management leads efforts in finding and executing creative ways to remove friction from the system for both members and provider partners. Requires expertise in care management and rethinking the approach to providing senior members the care they need.
Requirements
- Has an active Registered Nurse (RN) license or Licensed Clinical Social Work (LCSW) license
- 5 or more years of professional clinical experience
- 2 or more years of progressive business consulting and/or operational leadership experience
- Ability to travel into the Columbia SC office for business a few times per year.
- Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
- Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work
- Proficiency in analyzing and interpreting data trends.
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required for internet service; wireless, wired cable or DSL connection is suggested.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Nice To Haves
- Reside in the state of South Carolina
- Bachelor's degree or advanced degree in nursing or business health field
- Experience working with Managed Care or Medicaid populations
Responsibilities
- Serves as the strategic leader for the Care Management team.
- Oversees the assessment and evaluation of members' needs to achieve and maintain optimal wellness state.
- Guides members/families toward and facilitates interaction with resources appropriate for the care and wellbeing of members.
- Makes decisions regarding resources, approach, and tactical operations for projects involving their own departmental area.
- Conducts cross-departmental collaboration, briefings, and area meetings.
- Maintains frequent contact with other managers across the department.
- Leads efforts in finding and executing creative ways to remove friction from the system for both members and provider partners.
- Requires expertise in care management and rethinking the approach to providing senior members the care that they need.
Benefits
- Health benefits effective day 1
- Paid time off
- holidays
- volunteer time
- jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- medical, dental and vision benefits
- short-term and long-term disability
- life insurance
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What This Job Offers
Job Type
Full-time
Career Level
Manager
