Care Management Supervisor (Hybrid)
Vacancy has expired
Baltimore, MD
| Employer: | CareFirst BlueCross BlueShield |
| Category: |
Management
Health Care |
| Job Type: | Full Time |
Description | |
|
Resp & Qualifications PURPOSE: The Supervisor of Care Management will oversee and coordinate the activities of Inpatient Management Clinical Navigators (RNs). They are also responsible to provide support to confirm adherence to policies, and procedures to promote quality of care and manage health care costs. This position will require onsite presence at participating Baltimore and Southern Maryland area hospitals 3 or more days a week. May also be required to attend meetings at the CareFirst office locations. This role will function as a liaison to facilitate positive relationships with hospitals teams to work collaboratively for timely and smooth transitions from inpatient care to a lower level of care or home. The Supervisor position utilizes experience and skills in both case management and utilization management. Candidate's primary residence within the greater Baltimore Metropolitan area. ESSENTIAL FUNCTIONS:
SUPERVISORY RESPONSIBILITY: This position manages people. QUALIFICATIONS: Education Level: Bachelor's Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 5 years clinically related experience working in Case Management and Utilization/Concurrent Review. Preferred Qualifications: Previous supervisory experience. Knowledge and experience with Milliman Care Guidelines. Experience working with both employer group membership and Medicare/Medicaid enrollees and benefits contracts. Licenses/Certifications Required Upon Hire: RN - Registered Nurse - Active State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington, DC. Knowledge, Skills and Abilities (KSAs)
Salary Range: $77,544 - $159,935 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Maryland Inpatient Onsite Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship. #LI-SS1 | |