Delaware First Health Hiring for Supervisor, Care Management Full Time

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for day-to-day oversight of the Integrated Care Managers and coordination of necessary resources for members. This may include adequate clinical, behavioral, acute/chronic, and social care services.

Ensure staff is able to facilitate member and provider needs through entire care management cycle.

Partner with internal staff on key initiatives and outreach for members as needed.

Coordinate and communicate on access issues, assessments, internal protocols.

Implement policies and procedures through oversight for complex cases and present to management

Assist in recruitment efforts in accordance to the staff to member ratio

Coordinate the training of care management staff

Facilitate on-going communication between care management staff and providers

Assign cases and oversee care management caseloads including service care plan approval and member case file reviews

Maintain compliance with federal and state regulations and contractual agreements

Supervise the daily activities of staff to promote quality improvement and efficient methods

For Arizona Complete Health – Complete Care Plan:
Compile and review multiple s for statistical and financial tracking purposes to identify case management trends and assist in financial forecasting.

Education/Experience: Bachelor’s degree in Nursing, Social Work, Health Care Administration, related field or equivalent experience. 4+ years of social work, healthcare administration, patient/community advocacy, care management , or combined care management and clinical nursing experience. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

Licenses/Certifications: Licensed Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), Licensed Behavioral Health Medical Practitioner, Licensed Professional Counselor, Licensed Substance Abuse Counselor, Licensed Psychologist, or Registered Nurse preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.