Job description
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.
This Non-Clinical Care Management Supervisor will have a Non-clinical team consisting of Program Coordinators, Behavioral Care Coordinators, etc. The mission of this team is to provide outreach to members for resources, case management direction, and initial screenings.Essential Functions: * Assists management in collaborating with Health Services, Operations and Information Technology departments to ensure full integration of case management reporting throughout the organization.
- Assists Case Mangers in completing comprehensive assessment and care plans to evaluate the member’s need for services.
- Monitors associate performance and conducts counseling/corrective action procedures when required. Identifies concerns, brings issues to management’s attention and offers suggestions for improvement.
- Provides significant input to performance evaluation, hiring and termination decisions for associates in work group.
- Reviews time records, sets schedules and approves all vacation/time off requests for subordinate associates.
- Provides training and guidance to new and current Case Managers regarding policy & procedure, systemic tools, workload and care plan development.
- Answers all questions and assists peers and management with delegated tasks or projects.
- Takes the lead in preparing and submitting projects, reports or assignments as needed to meet department initiatives and/or objectives.
- Ensures phone or team coverage due to fluctuations in staffing levels.
- Ensures regulatory requirements and accreditation standards are applied to all activity and reporting.
- Plays active role in creating, applying and utilizing accepted policies and procedures.
- Attends company meetings in absence of manager or director.
- Performs other duties as assignedAdditional Responsibilities:
Supervises staff, ensures appropriate workload distribution and oversees day to day workflow processes. Ensures team is compliant with all Model of Care regulatory requirements and produces optimal clinical and resource outcomes. Works with case managers to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the health of the member.
Candidate Education: Required An Associate's Degree in health related or behavioral science field OR Bachelor’s degree in human service, social science or health field plus a minimum of 5 years’ experience in case management is required
Candidate Experience: Required 4+ years of experience in an acute clinical care setting and/or MCO related experience
Required 2+ years of experience in current case management
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.
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