Supervisor, Care Management

🔥 19 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Supervisor

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Supervises the care management team and the care management of 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 care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements • Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs • Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns • Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers • Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources • Provides coaching and guidance to care management team to improve member and provider experience and high-quality care • Assists with onboarding, hiring, and training care management team members • Leads and champions change within scope of responsibility

🎯 Requirements

• Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience • RN - Registered Nurse - State Licensure and/or Compact State Licensure required

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules