Supervisor, Case Management

TriWest Healthcare Alliance - Phoenix, AZ

Job Title: Supervisor, Case Management

Position: Supervises daily operations of case management services and staff

Job Type: Remote

Pay: $97,000 - $103,000 per year

Shift: Availability to cover any work shift

Work Type: Remote

Location

Address:

City: Phoenix

State: AZ

ZIP Code:

Job Responsibilities

Supervises the daily operations of case management services.
Hires, trains, coaches, counsels, and develops clinical and non-clinical staff.
Supports recruitment efforts by interviewing, selecting, and training new staff.
Applies knowledge of HIPAA privacy and security regulations as well as URAC accreditation standards to ensure compliance in daily practice.
Coordinates staff orientation and training.
Ensures staff provides case management within scope of practice and in compliance with organizational protocols, desk procedures, and policies.
Provides staff training, including training aids.
Documents and assesses effectiveness of staff training.
Supervises individual staff caseload and beneficiary treatment plans to ensure delivery of care, productivity, and timeliness.
Evaluates case manager practice for quality, timeliness, and process consistency.
Conducts regular and ad hoc case review audits, providing staff feedback regarding results and process improvement.
Participates in the evaluation of the case management program.
Ensures compliance with TriWest policy and Health Care Services desk procedures.
Collaborates with case managers, care coordinators, and medical providers for program interpretation and guidance.
Participates in clinical and non-clinical performance improvement projects.
Actively participates in teleconferences and meetings.
Monitors and provides input on the performance of non-clinical staff.
Supports department by carrying a case load as necessary.
Performs other duties as assigned.
Regular and reliable attendance is required.

Required Skills

Core Skills

Coaching / Training / Mentoring
Communication / People Skills
Computer Literacy
Coping / Flexibility
Delegation Skills
Organizational Skills
Problem Solving / Analysis
Team-Building / Team Player
Technical Skills related to healthcare and case management

Preferred Skills

Experience in Managed Care or TRICARE healthcare delivery system
Bachelor's degree or higher in health-related field

Requirements

Experience: Three years full-time equivalent of direct clinical care; Two Years Case Management or equivalent experience; One year supervisory experience

Education: Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), with a current unrestricted license; Case Manager Certification by a URAC-recognized entity

License & Certification:

Registered Nurse (RN)
Licensed Clinical Social Worker (LCSW)
Case Manager Certification by a URAC-recognized entity

Schedule:

Not specified

COVID-19 Requirements: Not Specified

Benefits

Medical, Dental and Vision Coverage
Generous paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time
Frequent pay raises and overtime opportunities