Supervisor Case Management
BlueCross BlueShield of Tennessee · United States · 2 mo ago
RemoteRemoteOTHRFull-time
Job Responsibilities
- Monitoring productivity and performance based on departmental goals; identifying areas for quality improvement and ensuring updated processes are implemented.
- Supervises, hires, motivates, and evaluates staff to assure effectiveness of programs and appropriate professional evaluation of clinical services.
- Captivates clinical interface with internal/external clients to ensure delivery of quality services.
- Facilitates the implementation of programs, policies, and procedures related to clinical management programs.
- Performing quality audits and review audit findings, providing feedback and training to staff as needed regarding clinical or technical information.
- Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows 7 Testing.
Job Qualifications
- Licenses: Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
- Experience: 5 years - Experience in the healthcare industry or in an operations type environment required; 3 years - Clinical experience required; 2 years - Experience in a leadership/management role required; 1 year - Utilization Management, or Case Management experience required.
- Skills/Certifications: Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability; Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint); Must be a team player, be organized and have the ability to handle multiple projects; Excellent oral and written communication skills; Strong interpersonal and organizational skills.