Manager, Case Management Specialty Programs

TriWest Healthcare Alliance - Honolulu, HI

Job Title: Manager, Case Management Specialty Programs

Position: Manager of Clinical and Non-Clinical Staff

Job Type: Full Time

Pay: $110,000 - $122,000 per year

Shift:

Work Type: Remote

Location

Address:

City: Honolulu

State: HI

ZIP Code:

Job Responsibilities

Direct operational leadership of CM Special Program functions and staff to ensure compliance with contract requirements.
Monitor day-to-day operations of the CM Special Program team to identify barriers to providing excellent service to beneficiaries.
Systematically evaluate the quality and effectiveness of staff performance, analyzing appropriate data and information to identify areas of improvement.
Advise and coach staff when appropriate and complete annual performance appraisals.
Manage activities necessary to ensure appropriate utilization of resources while maintaining optimal achievable standards of care.
Participate in the development of measurable outcomes, ensuring measures are in place to monitor the impact of programs and services on the health status of beneficiaries being managed.
Plan and implement orientation and training of new-hire employees.
Ensure adherence to accreditation standards, contract policy, contractual requirements, and nationally recognized practice standards.
Participate in the development of desk procedures, education, and auditing to support uniform application of programs and compliance with program policy and standards.
Participate in interdepartmental committees and/or workgroups that are pertinent to areas of responsibility.
Perform other duties as assigned.

Required Skills

Core Skills

Ability to influence or persuade others
Customer-focused behavior
Computer literacy in a multi-system Microsoft environment
Strong delegation skills
Independent thinking and self-initiative
Ability to manage large amounts of complex information
Effective leadership
Multi-tasking and time management
Organizational skills
Problem solving and analysis
Team-building and teamwork skills

Preferred Skills

Knowledge of TRICARE policies and procedures
Clinical experience related to children with disabilities
Experience with TRICARE ECHO and/or Autism Care programs

Requirements

Experience: Minimum of five years clinical experience with progressively responsible management experience in CM or Care Coordination operations and program development.

Education: Bachelor's degree in a health-related field with 3 years Medical-Surgical Clinical experience or equivalent.

License & Certification: