Manager, Specialty Care Management

Job not on LinkedIn

🕒 5 days ago

⛷️ Utah – Remote

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💵 $44 - $69 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 10%

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Logo of IMH

IMH

501 - 1000 employees

Founded 2007

🏗️ Construction

📦 Logistics

🛡️ Insurance

Construction • Logistics • Insurance

IMH is the Groupe IMA entity providing end-to-end housing assistance and post-claim services across France. It operates 24/7 emergency call-taking and rapid-response interventions for home incidents (fires, water damage, electrical faults, locksmithing), offers remote damage expertise and cost estimation, and manages repair-in-kind through a national network of vetted contractors. IMH also runs digital platforms to support project estimation and paid home-service offerings, coordinates large-scale catastrophe responses, and connects insurers, beneficiaries and service providers via its accredited prestataire network.

📋 Description

• Lead Restriction Team, sometimes referred to as Medicaid Lock-in • Lead, supervise, and mentor RN or Behavioral Health Care Managers, Utilization Review clinicians, and support positions • Oversee daily operations, staffing, resource allocation, and workflow optimization • Manage departmental budgets and performance evaluations • Develop, implement, and monitor Utilization Review and Care Management programs, processes, and outcome standards • Facilitate interdisciplinary collaboration among members, families, providers, and payers • Ensure compliance with NCQA, CMS, Joint Commission, and patient safety initiatives • Champion continuous improvement, address gaps, and monitor internal processes and metrics • Coordinate safe transitions of care, discharge planning, and repatriation to participating providers • Create and present program performance reports, outcome measures, and return on investment • Support staff development, mentorship, and community outreach activities

🎯 Requirements

• Bachelor’s degree in Nursing (BSN) from an accredited institution or Masters Degree in Clinical Social Work (LCSW) • Current licensure with compact privileges; must transfer licenses within 60 days • Leadership or supervisory experience in clinical or managed care settings • Two years of clinical experience and one year in care management or utilization review • Strong written and verbal communication skills • Intermediate computer skills and ability to troubleshoot independently • Completion of required leadership training within one year of accepting the position • Preferred: Master’s degree in a clinical, education, or business specialty • Preferred: Specialty certification in care management or utilization review • Preferred: Experience in program development and oversight • Preferred: Project management and organizational skills • Ability to read and assess information, documents, and monitors • Frequent verbal communication and hearing for interactions with colleagues and providers • Manual dexterity for computer use and equipment handling • May be required to sit or stand for extended periods • For roles requiring driving: ability to drive and read signs, signals, and other vehicles

🏖️ Benefits

• Generous benefits package covering programs for living healthy, happy, secure, connected, and engaged • Remote work expectations include use of company equipment • Equal opportunity employment

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