Supervisor, Case Management (Long Term Care)

Centene Management Company•Wichita, KS

23h•Hybrid

About The Position

Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers. Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements. Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs. Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns. Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers. Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones. Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care. Assists with onboarding, hiring, and training long-term care management team members. Leads and champions change within scope of responsibility. Performs other duties as assigned. Complies with all policies and standards.

Requirements

Requires a Bachelor's degree and 4+ years of related experience.
For Iowa Only: Bachelors degree required and 4+ years experience with populations served; or RN with 6+ years of experience with population served.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License/Certification: For Iowa Plan Only: Bachelor's degree required and 4+ years of experience with populations served, or RN with 6+ years of experience with population served.

Nice To Haves

Experience supporting Medicaid Home and Community-Based Services (HCBS) waiver programs, including populations such as physically disabled, brain injury, frail/elderly, and intellectually/developmentally disabled (I/DD) preferred.
Prior leadership or supervisory experience in case management or care coordination preferred.
Candidates residing in or near Marion, Reno, Harvey, Kingman, Sedgwick, Harper, or Sumner counties in Kansas are strongly preferred.

Responsibilities

Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery.
Supervises day-to-day escalations and care management issues related to members or providers.
Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements.
Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs.
Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns.
Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers.
Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones.
Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care.
Assists with onboarding, hiring, and training long-term care management team members.
Leads and champions change within scope of responsibility.
Performs other duties as assigned.
Complies with all policies and standards.