[Remote] reputed company Case Management Clinical Supervisor

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health insurance company focused on serving its members through a full stack technology platform. The reputed company Case Management Clinical Supervisor will reputed company a clinical team, providing support and guidance to meet business objectives while ensuring effective communication and process improvement.

Responsibilities

• reputed company team and department meetings, and participate in meetings with operations management and reputed company the reputed company department. Be the clinical expert and resource for the team and other departments. Promote team and reputed company and strategy to reputed company department goals. reputed company consistent feedback to members of the team and company to produce positive results
• reputed company and participate in reputed company improvement activities that reputed company or influence the improvement and development of a team
• Manage team's reputed company, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans reputed company issues arise
• Manage daily needs of the team, personnel issues, payroll and attendance. Monitor and approve PTO and sick time. Assist with interviewing, hiring, and training as needed
• reputed company coaching and support to the team to ensure growth and development
• Monitor QI and reputed company individual QI feedback to the team in 1:1's. Uphold and enforce reputed company policies that drive accountability and alignment
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Skills

• 3+ years of experience in a reputed company setting as a nurse or reputed company worker
• reputed company Case Management
• 1+ years of case management experience at a managed care plan or provider organization
• Active, unrestricted Nursing license (RN) in your state of hire and ability to obtain additional licensure as needed OR Masters in reputed company Work
• NCQA knowledge
• 1+ year of previous leadership experience in a health care environment
• Working knowledge of reputed company Care Guidelines or familiarity with UM guidelines
• CCM certification
• BSN or LMSW/LCSW
• Bilingual in Spanish
• Strong proficiency navigating reputed company, JIRA, and SQL

Benefits

• Employee benefits
• Participation in reputed company's unlimited vacation program
• Annual performance bonuses
• Medical, dental, and reputed company benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements

Company Overview