Integrated Care Managers

Job Description
Integrated Care Management Supervisor - R-5120_15-4185at Cambia Health Solutions in Pocatello, Idaho, United States
Job Description
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 Supervisors are living our mission to make health care easier and lives better. As a member of the Behavioral Health team, our Care Management Supervisor acts 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 ongoing 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 members, lending a hand to a colleague, or volunteering in our communities, our compassion, empathy, and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities, and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental, and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligible day one of employment if within the first 12 months following birth or adoption).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status, or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email (url removed). Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Job Posting:
(phone number removed)
Posted On:
May 29, 2024
Updated On:
May 29, 2024