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Claymont, United States Delaware First Health Full time
Healthcare Management Supervisor

Join Centene, a national organization committed to transforming the health of communities one person at a time. We are looking for a Healthcare Management Supervisor to oversee the care management team serving long-term care members. As a Supervisor, you will play a key role in developing and assessing high-quality healthcare outcomes for members with physical/medical and/or behavioral/mental health needs.

  • Manage escalations and care management issues for members and providers
  • Review and maintain compliance with federal and state regulations
  • Develop and implement policies and procedures based on regulatory requirements
  • Assign, monitor, and evaluate work assignments for team members
  • Oversee daily activities and provide guidance for complex cases
  • Collaborate with resources through telephonic, digital, and site outreach
Requirements:
  • Graduate from an Accredited School of Nursing or Bachelor's degree with 5+ years of experience
  • Master's degree for positions overseeing Behavioral Health team members
  • 2+ years of supervisory experience preferred
  • Advanced clinical knowledge and ability to assess member needs
  • Strong knowledge of healthcare managed care principles
Licenses/Certifications:
  • Registered Nurse (RN) license for positions overseeing RN team members
  • Licensed Behavioral Health Professional for positions overseeing BH team members

Join us at Centene and be part of a team dedicated to diversity and inclusivity. We offer competitive pay, benefits, and a flexible approach to work with remote, hybrid, field, or office options. Take the next step in your career with us