Manager Case and Disease Mgmt

Corewell Health • Altoona, WI

21d • Onsite

About The Position

Provides supervision and leadership to the team of Priority Health Case Managers and support staff ensuring department goals and standards are met. Accountable for daily coordination of case/disease/UM functions. Responsible for the operations and acts as a resource and consultant to the team. Provides oversight of processes and procedures to assure that the individual's specific health needs are met to promote the highest quality of care in the most appropriate setting.

Requirements

• Bachelor's Degree or equivalent in health-related field
• 5 years of relevant experience clinical experience in health services setting
• 3 years of relevant experience managed care and/or case management experience

Nice To Haves

• Master's Degree for those who do not have MSW, MA or MS degree
• Strong knowledge of management health care
• Knowledgeable on compliance and regulations as it relates to Case Management Programs
• LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire
• LIC-Master Social Worker (MSW-Master) - STATE_MI State of Michigan Upon Hire
• CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification

Responsibilities

• Oversee, supervise, and manage daily operations including hiring, training, coaching, and performance evaluation to ensure productivity and quality outcomes.
• Develop and implement training modules to support staff competency and program effectiveness, while fostering continuous improvement and professional growth.
• Collaborate with leadership to assess departmental needs, research and design new health management programs, and oversee implementation and post-launch monitoring.
• Review policies and procedures, and ensure compliance with regulatory and accrediting standards, while promoting best practices aligned with Priority Health’s value proposition.
• Ensure seamless integration of Case Management, Disease Management, and Utilization Management (as applicable) functions across departments, identifying and resolving service barriers.
• Develop measurable outcomes, monitor program impact on member health, and collaborate with other managers to implement performance monitoring and improvement plans.
• Serve as a resource for internal and external stakeholders, participate in presentations, and support communication efforts with providers, employers, and members.
• Support budget planning and management, operate within defined financial parameters, and utilize internal and community resources effectively to meet departmental goals.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

• Job Type: Full-time
• Career Level: Manager