Manager, Case Management

🕒 Julho 31

🐻 Alaska, Arizona, +25 estados a mais – Remoto

🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $89.300 - $151.800 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 7%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Premera Blue Cross

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1945

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Premera Blue Cross é uma provedora independente de seguro de saúde, atendendo empresas e residentes do estado de Washington e Alasca como licenciada da Blue Cross Blue Shield Association. A empresa oferece uma variedade de planos de saúde, incluindo planos individuais, familiares, baseados em empregadores e suplementares ao Medicare. No entanto, anunciou que sairá do mercado Medicare Advantage a partir de 1º de janeiro de 2025. A Premera está comprometida em promover a equidade em saúde e suporte à comunidade, evidente através de seu Programa de Impacto Social focado em saúde comportamental e soluções para a falta de moradia em Washington e Alasca. Além disso, a Premera cumpre com as leis de direitos civis federais e estaduais, oferecendo serviços de assistência linguística para garantir um cuidado equitativo.

Descrição

• Participate in development of Clinical Programs’ strategy and planning in accordance with company's mission and strategic goals, federal and state law and regulations, and accreditation standards. • Assist in the selection, training, evaluation, and development of professional paraprofessional, and administrative team members. • Lead Care Management teams in effective performance of job functions, which may include case management and delegated management oversight. • Participate in the development and monitoring of budgets in accordance with department and organizational objectives. • Participate in the development, implementation, and monitoring of the department's performance standards, utilizing quality improvement methodologies to refine procedures. • Foster collaborative work environment that encourages team building, facilitates cohesive synergetic performance of Case Management functions, while valuing the individual diversity and uniqueness of all employees. • Build and maintain cooperative business relationships. • Participate in activities and processes to ensure operational compliance with regulatory requirements, including NCQA and OIC. • Provide effective oversight and developmental support for team members to meet productivity and satisfy expectations. • Facilitate team building across the team so that team members feel connected to one another and the larger department. • Effectively manages deficits with improvement plans and consistent follow-up. • Use data effectively to monitor performance, identify opportunities and address problems and opportunities timely.

🎯 Requisitos

• Candidates with a RN License are highly preferred. • Current state credential (e.g. licensure) that allows the professional to conduct an assessment independently as permitted within the discipline's scope of practice (Required) : • For nurses, required registration (e.g. RN, ARNP). • For behavioral health, required licensure (e.g. LMFT, LICSW, LPC, LMHC) • For psychologist, required board certification • For dietitians, required certification as a nutritionist or dietician • Or licensure in related healthcare discipline • Certified in CCM (Certified Case Management) or obtain certification within 24 months of date of hire. (Required) • Five (5) years case management or health care experience. (Required) • Three (3) years management experience. (Required) • Advanced degree such as Master's Degree in a Health-Related field preferred. • Experience with NCQA, URAC, or accreditation review processes. • Experience in continuous process improvement and creative problem solving (e.g. LEAN, Synectic). • Advanced training in Motivational Interviewing. • Experience training clinical and non-clinical staff. • Experience managing case management teams and integrated case management model.

🏖️ Benefícios

• Medical, vision, and dental coverage with low employee premiums. • Voluntary benefit offerings, including pet insurance for paw parents. • Life and disability insurance. • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service. • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few. • Generous paid time off to reenergize. • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees. • Employee recognition program to celebrate anniversaries, team accomplishments, and more. • For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement. • Commuter perks make your trip to work less impactful on the environment and your wallet. • Free convenient on-site parking. • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable. • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling. • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.