Case Management Supervisor – Medicare/DSNP

🔥 3 minutes ago

☕ Washington – Remote

☕ Washington – Remote

💵 $93.2k - $148.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Community Health Plan of Washington

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1992

⚕️ Healthcare Insurance

👥 B2C

Healthcare Insurance • B2C

Community Health Plan of Washington is a nonprofit health plan founded in 1992 by Washington’s community health centers that provides Medicaid (Apple Health), Medicare Advantage, Dual-eligible, and Individual & Family insurance plans across Washington state. It offers care management, behavioral health, virtual care, member support and community services, and programs such as rewards, language assistance, and provider networks to serve members and community health needs.

📋 Description

• Provides clinical and administrative leadership to care management team(s). • Responsible for direct daily oversight of both medical and behavioral health clinicians and non-clinical staff. • Implements care management programs and ensures program operations and documentation support regulatory standards. • Monitors performance and productivity of team members to ensure guidelines are followed and goals are met. • Facilitates collaboration with internal partners for coordinated care.

🎯 Requirements

• Minimum of three (3) years clinical experience in an acute care or public health setting. • Minimum of three (3) years as a case manager in an ACO, MCO, or BHO required. • Three (3) years supervisory or leadership experience in a healthcare or managed care setting preferred. • Bachelor’s degree in nursing or a Master’s degree in social work and/or a related behavioral health field. • Current, unrestricted RN license in the State of Washington OR a current, unrestricted LICSW license in the State of Washington. • Have or will obtain a Case Management Certification within the first two (2) years of employment. • Experience with Microsoft Office applications such as Outlook, Word, and Excel.

🏖️ Benefits

• Equal opportunity employer committed to a diverse and inclusive workforce. • Opportunity to work with a care management team. • Clinical and administrative leadership roles. • Ongoing training for existing staff. • Onboarding new staff and monitoring performance to ensure competency.