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Cambia Health Integrated Care Management Supervisor - R-5120_15-4185 in Pocatello, Idaho

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2215668

Integrated Care Management Supervisor

Work from home within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our

Cause

to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia\'s dedicated team of Care Management Supervisor\'s are living our mission to make health care easier and lives better. As a member of the Behavioral Health team, our Care Management Supervisor act as a resource for care management professional and support staff. Oversees and coordinates team activities to achieve business objectives and ensure medically necessary, cost-effective, quality care is delivered to members through various care management programs, including case management, disease management and care coordination - all in service of making our members\' health journeys easier.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

Are you a Nurse who is looking to foster a positive workplace culture that supports employee well-being and member satisfaction? Do you have a passion to effectively communicate with and engage diverse stakeholders, including patients, families, and healthcare professionals, to ensure that their needs are met and their voices are heard? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

  • Bachelor\'s degree in Nursing or related field
  • 3 years of lead experience
  • 5 years of clinical experience
  • Equivalent combination of education and experience
  • Must have licensure or certification, in a state or territory of the United States, in the health or human services-related field that allows the professional to conduct an assessment as permitted within the scope of practice of the discipline (e.g. medical vs. behavioral health) and at least 3 years full time equivalent direct clinical care.
  • For medical care management, must have a current unrestricted Registered Nurse (RN) license, in a state or territory of the United States.
  • Certification as a case manager from the URAC-approved list of certifications preferred.

Skills and Attributes:

  • Demonstrated competency in setting priorities for a team and overseeing work outputs and timelines.
  • Ability to communicate effectively, verbally and in writing including with employer or provider groups.
  • Ability to effectively develop and lead a team (including employees who may be in multiple locations or work remotely).
  • Demonstrated experience in recognizing problems and effectively resolving complex issues.
  • Familiarity with health insurance industry trends and technology.
  • Demonstrated competency related to clinical case management and utilization management practices.
  • Experience using population statistics and their application in care management programs.

What You Will Do at Cambia:

  • Assigns and prioritizes work, sets goals, and coordinates daily activities of the team. Provides regular updates and communication to staff through 1:1 and team meetings.
  • Monitors individual and team results to ensure work is completed in a timely manner, in accordance with department standards and procedures, and is in compliance with medical policy and medical necessity guidelines.
  • Acts as a resource for staff and others. Appropriately escalates issues and partners with other departments to resolve issues and remove barriers. Collaborates with physician advisors on complex case and coverage determination processes.
  • Participates in the hiring process, provides on-goin coaching, employee development and writing of performance reviews. Develops and maintains desk reference guides on work procedures. Ensures new hires complete necessary training. Assesses training needs and plays an active role in development of staff.
  • Maintains clinical competency and keeps current on medical practices, procedures and industry trends.
  • May develop and present educational updates to other departments.

FTEs Supervised

  • 10-16

#LI-Remote

The expected hiring range for a Care Management Supervisor is \$91,000 - \$123,100 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is \$85,000 - \$140,000.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we\'re helping me

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