Care Management Clinician – Team Lead

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🔥 4 minutes ago

🦬 Montana – Remote

🦬 Montana – Remote

💵 $83.2k - $137.3k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.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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PACIFICSOURCE

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

Not-for-profit health plans

📋 Description

• Manage Clinical Care Managers across assigned lines of business • Hire, train, coach, counsel, and evaluate team member performance • Lead development, implementation, operation, and maintenance of assigned programs and services • Monitor daily workflow, caseloads, task distribution, volume, timelines, accuracy, customer service, and performance measures • Provide orientation, ongoing supervision, training, evaluation, and leadership to assigned team members • Participate in hiring decisions with the Director and/or Health Services Manager and Human Resources • Assist with process improvement using lean methodologies and visual boards to monitor key performance indicators • Coordinate with PacificSource departments and community partners to optimize service and information delivery • Serve on internal and external committees and communicate pertinent information to the team or department • Utilize and promote evidence-based tools • Maintain a modified caseload • Investigate and resolve process-related issues and facilitate conflict resolution • Oversee and assist with service and information for members, providers, employers, agents, and other customers • Provide backup to departmental teams or management staff as needed • Communicate updated policies, procedures, and processes to team members • Facilitate team operations through information sharing, problem-solving recommendations, and standardization of Health Services operations • Represent the Health Services Department internally and externally as requested • Perform other duties as assigned

🎯 Requirements

• Minimum of five years of clinical experience, including case management experience • Minimum of three years of direct health plan experience in case management, utilization management, behavioral health, and/or disease/condition management strongly preferred • Prior supervisory experience preferred • Active, unrestricted RN, LPC, LMFT, or LCSW credential required • Certified Case Manager (CCM) certification accredited by CCMC required at time of hire or within two years of hire date • Knowledge of health insurance and state-mandated benefits • Thorough knowledge and experience in case management practice, including advocacy, assessment, planning, communication, education, resource management, and service facilitation • Effective adult education/teaching and/or group leadership skills • Strong analytical and organizational skills • Experience using information systems and computer applications • Ability to develop, review, and evaluate utilization and case management reports • Strong computer skills, including Word, Excel, and PowerPoint • Ability to use audio-visual equipment • Ability to work independently with minimal supervision • Ability to read and comprehend written and spoken English • Ability to communicate clearly and effectively • Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive typing/sorting/filing, and lift/carry files and business materials

🏖️ Benefits

• Work-from-home arrangement in Montana • Travel approximately 5% of the time • Equal opportunity employment • At-will employment

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