Top 3345 Supervisor case manager rn Jobs

Supervisor, Case Management (clinical)
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Full-time
- Spanish
- Clean driving record
- Management
- Health insurance
- Dental insurance
Quick Apply
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CIBD —Orange, CA
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- Full-time
- Nursing
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Case Manager Supervisor
Jamaica Hospital Medical Center —Jamaica, NY
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Case Management Supervisor (RN) - FT/Days
Community Hospital of Huntington Park —Huntington Park, CA
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RN Registered Nurse Case Manager
White Glove Placement New York —New York, NY
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- Full-time
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Case Manager / RN
MedWatch —Remote
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- Residential
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
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- Microsoft Outlook
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Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Oregon
- $54,095 - $155,538 a year
- Full-time
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Case Manager Registered Nurse (Remote, Illinois)
CVS Health —Illinois
- $66,575 - $142,576 a year
- Full-time
- Remote
- Bilingual
- Nursing
- Microsoft Outlook
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4d
Director of Health Services (RN)
MBK Senior Living —Klamath Falls, OR
- $100,000 - $120,000 a year
- Full-time
- Nursing
- Current TB test
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RN
PEOPLE INC. —Niagara Falls, NY
- $76,960 - $83,200 a year
- CPR Certification
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Hospice RN Case Manager
John Knox Village —Lee's Summit, MO
- Weekends as needed
- Microsoft Word
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- Nursing
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Branch Clinical Manager (RN) Home Health
Adaptive Home Health —Detroit, MI
- Full-time
- RN License
- Home Health
- Senior level
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Hopice RN Case Manager
Shalom Hospice of Washington —Portland, OR
- $105,000 - $115,000 a year
- Full-time
- CPR Certification
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- RN License
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11d
Hospice Registered Nurse Case Manager RN
Affinity Hospice Management LLC —South Portland, ME
- Full-time
- CPR Certification
- Nursing
- RN License
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12d
RN Float FT/PT/PRN
South Coast Hospice & Palliative Care Services, Inc. —Coos Bay, OR
- $40 - $45 an hour
- Part-time
- Background check
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Registered Nurse
Lincoln Street Inc. —Springfield, VT
- From $90,000 a year
- Weekends as needed
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- RN License
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RN - MENTAL HEALTH - ACT PROGRAM - CHARLOTTESVILLE
Region Ten Community Services Board —Charlottesville, VA
- $25.43 - $38.15 an hour
- Weekends as needed
- CPR Certification
- Nursing
- Clean driving record
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Clinical Director: Community Support & ECM
Newlife Discovery Project, Inc. —Redding, CA
- $150,000 - $170,000 a year
- Full-time
- Background check
- LMFT
- RN License
- Health insurance
- Dental insurance
Quick Apply

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Supervisor, Case Management (clinical)

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Full-time
$113,836 - $176,446 a year
3 days ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Retirement plan

Qualifications

Supervisory support in social service case management
Management
Medicare
Utilization review
RN License
Managed care organization experience
Regulatory compliance
Licensed Clinical Social Worker
Employee relationship building
Clinical case management
Managing patients as a nurse case manager
Driver's License
Supervising experience
Health insurance knowledge
Case management
Utilization management
Driving
NCQA standards
Centers for Medicare and Medicaid Services (CMS)
Resource utilization in healthcare
Discharge planning
Care plans
Delegation

Full Job Description

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

The Supervisor of Case Management is responsible for the oversight of daily operations of case management activities, providing assistance with the development and implementation of new programs and related workflows, coordinating case management referrals for all lines of business, and serving as a resource for internal departments, members, providers, delegates and community partners. In addition, the Supervisor of Case Management is responsible for supervising Case Managers and Personal Care Coordinators to ensure that all case management functions are performed accurately and efficiently and in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements.

Day to Day:

Develop, implement and supervise case management workflows in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures and business requirements for all lines of business.
Monitor and provide continuous quality improvement to the processes of basic, specialty and complex case management, including timely completion of Health Risk Assessments (HRA), documented development of member care teams, development and monitoring of Individual Care Plans (ICP) and changes to members’ risk stratification after time of enrollment.
Collaborate with the Manager of Case Management with routine and ad hoc audits and the development, implementation and monitoring of corrective action plans.
Ensure the integration of Case Management operations into other internal and external teams/departments including Long Term Services and Supports and Behavioral Health.
Collaborate with the Manager of Case Management with the oversight and assignment of RN Case Manager, Medical Management Coordinator and Personal Care Coordinator caseloads across various case management programs.
Resolve or facilitate resolution of problematic and/or complex issues by escalating to appropriate management/leadership person.
Establish and maintain effective interpersonal relationships with staff at all levels, members and/or their authorized representatives, providers, other program or agency representatives.
Carries out supervisory/management responsibilities in accordance with the organization’s policies, procedures, applicable regulations and laws.

About You:

Unrestricted professional clinical licensure in state of California.
Minimum two years of progressively responsible experience in a supervisory or lead capacity in case management, utilization management, discharge planning and/or quality improvement in a managed care setting.
Current working knowledge of Medicare and/or MediCal regulations and NCQA Population Health standards.
CMSA Certification in Case Management (Desired)
Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events.
Spanish, Vietnamese, Chines, or Tagalog language bi-lingual skills is desired.

Please review the full job description on our Career’s page: : https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=3166

Job Type: Full-time

Pay: $113,836.00 - $176,446.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Retirement plan
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have current working knowledge of Medicare and/or MediCal regulations and NCQA Population Health standards?
Do you have a minimum two years of progressively responsible experience in a supervisory or lead capacity in case management, utilization management, discharge planning and/or quality improvement in a managed care setting.

Experience:

Supervising: 2 years (Required)

License/Certification:

clinical licensure in state of California (Required)

Ability to Commute:

San Jose, CA 95119 (Required)

Work Location: In person

Quick Apply

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