Supervisor of Case Management
5 days ago
Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity:
As a Supervisor of Case Management at Valenz, you’ll oversee and be accountable for the success of a team of Case Management Nurses. You will ensure members receive high quality care and are effectively managed across the continuum of care. You’ll be a key part of our innovative Care leadership team, contributing to our growth and overall client satisfaction.
Things You’ll Do Here:
- Supervise a team of Case Managers providing guidance, support, and training as needed.
- Work with leadership to develop and implement case management policies, procedures, and guidelines that promote the delivery of high-quality, patient-centered care.
- Ensure compliance with regulatory and accreditation standards such as Medicare, Medicaid, and URAC as well as CMSA’s Standards of Practice, state, local and federal laws.
- Accountable for monitoring and analyzing data on team productivity, patient outcomes, utilization, and cost savings to identify opportunities for improvement.
- Collaborate promptly and accurately with members, healthcare providers, and clients to ensure effective and efficient care coordination and communication across the healthcare continuum.
- Serve as a point of contact for escalation issues and attend client calls or meetings when necessary.
- Oversee the team's clinical utilization reviews, assessments, and documentation to ensure quality and determine patients' needs for appropriate, measurable outcomes.
- Participate in quality improvement initiatives and committees to promote continuous quality improvement.
- Provides continuous coaching, development, education, and training to the internal team, including during the onboarding process and as needed when additional support or education is required.
- Facilitate ongoing education and development of team members through access to continuing education opportunities and resources to ensure current best practices.
- Perform other duties as assigned.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- 5+ years of experience in case management or a related field
- 2+ years of experience supervising or leading a team of case managers.
- Current RN licensure in residing state – compact a plus
- CCM—Certified Case Manager certification, or willingness to obtain.
- Bachelor’s degree in Nursing or related field.
- Strong aptitude for relationship building with a highly effective communication style.
- Ability to work in a fast-paced, detailed, deadline-driven environment.
- Excellent computer skills in data transformation, visualization, and cross-functional collaboration.
A plus if you have:
- Master’s degree in Nursing or related field preferred.
- Experience within the health insurance and Cost Savings industries.
- Bilingual strongly preferred
Where You’ll Work:
This is a fully remote role
Why You Will Love Working Here
We offer employee perks that go beyond standard benefits and compensation packages – see below
At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You’ll find limitless growth opportunities as we grow together. If you're ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you
Perks and Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting.
- Flexible working environment.
- Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.
- Paid maternity and paternity leave.
- Community giveback opportunities, including paid time off for philanthropic endeavors.
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
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