Case Management Supervisor

3 days ago

Oakland, California, United States Allameda Alliance for Health Full time
Job Summary

We are seeking a highly skilled and experienced Case Management Supervisor to join our team at the Allameda Alliance for Health. As a key member of our Case Management department, you will be responsible for overseeing the daily operations of our Case Management staff, ensuring the quality of their work, and driving process improvements to enhance member health outcomes.

Key Responsibilities
  • Supervise and mentor Case Management staff to ensure they have the necessary skills and knowledge to perform their duties effectively.
  • Develop and implement training programs to enhance staff knowledge and skills, including case management process, team integration, and clinical documentation.
  • Conduct regular audits to review clinical information, analyze data, and make sound conclusions to inform decision-making.
  • Provide feedback and coaching to staff to improve performance and address areas for improvement.
  • Develop and maintain training materials, job aids, and competency checklists to support staff development.
  • Collaborate with the Manager of Case Management to identify opportunities for process improvements and implement changes to enhance departmental operations.
  • Participate in quality and advisory committees to contribute to the development of policies and procedures.
  • Prepare for and participate in regulatory audits to ensure compliance with applicable guidelines and standards.
Requirements
  • Registered Nurse license, active and unrestricted, in the State of California.
  • BSN or MSN required; Advance Nursing Degree preferred.
  • Three to five years of healthcare-related experience, preferably in a managed care/care management environment.
  • 1-2 years of experience in a lead or supervisory role required; 4+ years of experience in nursing, training, or auditing in a healthcare setting preferred.
  • Masters in Case Management may be substituted for 2 years of required experience.
Preferred Qualifications
  • Knowledge of Medi-Cal and/or Department of Health Care Services and/or Medicare regulations and standards.
  • Ability to motivate, train, and supervise staff.
  • Ability to make thoughtful decisions and exercise sound judgment.
  • Experience with planning, implementing, and evaluating clinical and disease prevention programs.
  • Background in population-based community health assessment and interventions.
What We Offer

We offer a competitive salary range of $121,182.95 to $182,595.42 annually, depending on experience. We are an equal opportunity employer and strive to have the best-qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local law.

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