Healthcare Leader
4 weeks ago
This leadership role will oversee the daily operations of case management special programs services and staff under the Manager of Case Management Special Programs. The successful candidate will support TRICARE beneficiaries seeking benefits under Extended Care Health Option (ECHO) and Autism Care Demonstration (ACD).
Key Responsibilities- Supervise the daily operations of case management specialty program services, including hiring, coaching, and evaluating staff.
- Apply knowledge of HIPAA privacy and security regulations and URAC accreditation standards to ensure compliance in daily practice.
- Coordinate staff orientation and training, ensuring staff provides services within associated scope of practice and organizational protocols.
- Evaluate clinical and non-clinical performance for quality, timeliness, and process consistency, conducting regular and ad hoc case review audits.
- Collaborate with medical providers, the Director, Case Management, and the Medical Director for Case Management on program interpretation and guidance.
- Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) with a current unrestricted license and one year of supervisory experience or equivalent leadership role.
- U.S. Citizenship and ability to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
- Three years of full-time equivalent of direct clinical care to the consumer and two years of care coordination or case management experience.
- Experience in TRICARE ECHO and Autism Care Demonstration programs.
- Bachelor's degree or higher in a health-related field.
- Case Manager Certification by a URAC-recognized entity.
- Coaching, training, and mentoring.
- Communication and people skills.
- Computer literacy.
- Coping and flexibility.
- Delegation skills.
- Organizational skills.
- Problem-solving and analysis.
- Team-building and team player.
- Technical skills.
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