Supervisor Case Management Job at LMS Recruiting, Salt Lake County, UT

UFNKbHQ1Q0hzbHRMZ1ZiNWdRN3pndGtWSWc9PQ==
  • LMS Recruiting
  • Salt Lake County, UT

Job Description

Job Description:

Better care is in the details. We need your inquisitive nature, big-picture viewpoint and strong ties to the medical community. Use your skills to coordinate with multiple providers and facilities to ensure our members get effective, integrated care. Coordinate care for our members. 

Supervisor of Case Management
1 open position, can be based out of any of the following locations: Salem, OR, Portland, OR, Lewiston, ID, Salt Lake City, UT

Bring your clinical skills and strategic leadership abilities to this role where you will:
- Supervise case management and disease management professional and support staff
- Serve as a role model, mentor and resource for staff members
- Manage teams that work in multiple locations and via telecommuting technology
- Oversee and coordinate the activities of our care program, including coordinating activities with external vendors, employer groups and other organizations that provide member care or services
- Participate in the departmental strategic plan and budget development and promote achievement of department goals consistent with corporate objectives
- Assure that medically necessary, cost-effective quality care is delivered according to program specifications 

Key qualifications and experience:
- Current RN, PA, or NP License, or other professional certification in a clinical specialty. CCM Certification strongly preferred
- 3 years full time equivalent of direct clinical care and previous supervisory experience (or relevant experience leading and managing teams) are required
- Experience or familiarity with case management and disease management within the health plan / insurance arena is required
- Medicare background strongly preferred, particularly with the Medicare STARS program along with Knowledge of health insurance industry trends and new technology
- Experience with population statistics and their application in care management programs; Experience with program management preferred
- Vendor relationship management experience preferred

More Details:
Our ideal candidate has a clinical background, is a certified case manager, and has experience in case management and disease management working for another health insurance provider. They have stong leadership capabilities, and can effectively manage staff working across multiple locations utilizing technology. The ideal candidate has worked for these companies: Aetna, Cigna, United Healthcare, Intermountain Health Care, Molina Health care, HealthNet, Premera, Humana, other health insurance plans.

Job Tags

Full time, Remote job,

Similar Jobs

D.R. Horton, Inc

IT Project Manager Job at D.R. Horton, Inc

 .... Please visit our website at for more information. D.R. Horton, Inc. is currently looking for an Information Technology Project Manager for their Financial Services IT Department. lead and coordinate Information Technology (IT) projects; assess project objectives... 

NBCUniversal

Staff Cyber Security Engineer Generative AI Job at NBCUniversal

 ...We are looking for a Staff Cyber Security Engineer to be part of our NBCU Security Architecture team focused on emerging technologies including...  ...security posture Additional Requirements: ~ Fully Remote: This position has been designated as fully remote meaning that... 

Steampunk, Inc.

Junior Data Analyst Job at Steampunk, Inc.

 ...todays rapidly evolving technology landscape, an organizations data has never been a more important aspect in achieving mission and...  ...Contributions We are looking for you to join our team as a Data Analyst . This position focuses on data analysis for law enforcement... 

Two95 International Inc.

Sr. Front End Developer (React.js) - Remote Job at Two95 International Inc.

 ...Title Sr. Front End Developer (React.js) Position 6+ Months Contract Location 100% Remote Work Rate - $Open (Best Possible) Skills : html5 / css3 / js (es6) / json / git / CLI / reactjs / react hooks Responsibilities: Strong initiative... 

Camp Timber Tops

Summer Camp Counselor Job at Camp Timber Tops

Spend 8 weeks in the beautiful Pocono Mountains meeting new friends and teaching kids a new skill. We are a traditional summer camp, offering over 40 activities. There is NO place like summer camp! Are you ready for the best summer of your life?! Employment Type: Part...