Supervisor, Care Management

🔥 0 minutes ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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GlobalHealth, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2003

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

GlobalHealth, Inc. is a health insurance company that offers Medicare Advantage (Part C) HMO plans, including Chronic Special Needs Plans (C-SNP) and Dual Special Needs Plans (D-SNP), primarily serving beneficiaries in Oklahoma. It provides Medicare and Medicaid-contracted benefit plans with prescription drug (Part D) coverage, supplemental benefits (dental, vision, hearing, OTC allowances), home support services, transportation, fitness benefits, and member/provider portals and tools for enrollment, claims, and care management. GlobalHealth focuses on serving retirees and dual-eligible or chronically ill populations through local agent support, provider networks, and compliance with Medicare quality standards.

📋 Description

• Develop and lead assigned members of the Care Management Team under the direction of the Director, Health Services • Determine, plan, develop, organize, implement, and evaluate SNP and other high-risk, high-utilization member programs • Select, orient, and develop qualified staff for the Care Management Department • Maintain and monitor departmental processes for timely outreach and management of identified members • Evaluate reports to identify outcomes and program effectiveness • Analyze outcomes and use data to develop processes that improve program effectiveness • Identify training needs and facilitate education and training • Communicate regularly with employees through staff meetings • Serve as a resource to all lines of business • Communicate with the Director, Health Services about departmental issues, performance improvement opportunities, member issues, program status, and compliance issues • Supervise members of the Care Management Team • Protect confidential business information and PHI

🎯 Requirements

• Active Registered Nurse license in the state of Oklahoma required • Active multi-state RN license is preferred • Previous experience in managed care/utilization management preferred • Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources • Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals • Strong organizational, leadership, problem solving, and decision-making skills • Must be able to communicate, both orally and in writing, clearly and effectively • Knowledge of Microsoft software programs including Word, Excel, and PowerPoint • Proven ability to work independently or as a member of a team • Must have access to a reliable and secured internet connection source • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy • Must adhere to GlobalHealth privacy and security policies

🏖️ Benefits

• Affordable health insurance coverage • Occasional travel may be required