Cambia Health Solutions
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Manager Care Management Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia’s dedicated team of clinical leaders are living our mission to make health care easier and lives better. As a member of the Behavioral Health team, our Manager Care Management plans, directs, and manages the activities of the care management professional and support staff. Oversees staff directly or through subordinate supervisor(s). Provides leadership to set performance standards and ensure effective and efficient execution of care management programs across all Cambia plans, including case management, disease management and care coordination. Represents the department in interactions with all levels of management, vendor partners, clients, providers, government officials, and outside consultants – all in service of creating a person-focused health care experience. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. Are you passionate about transforming healthcare experiences? Do you thrive when leading teams toward meaningful outcomes? Then this role may be the perfect fit.
Bachelor’s degree in nursing or related field, master’s preferred 7 years of healthcare or clinical care experience 5 years of leadership experience or equivalent combination of education and experience Current unrestricted Registered Nurse (RN) License, (LCSW) Licensed Clinical Social Worker, (LPC) Licensed Professional Counselor, or (LMFT) Licensed Marriage and Family Therapist in a state or territory of the United States Certification as a case manager from the URAC-approved list of certifications preferred Skills and Attributes: Ability to identify issues, opportunities, and effective solutions and collaborate with other departments to improve processes and/or results Demonstrates competency in resource and project management: budgeting, organizing work, providing leadership to staff, establishing measures for success, and managing deliverables Ability to develop and lead a team including: hiring, goal setting, coaching and development (including supervisors and/or employees who may be in multiple locations or work remotely) Ability to communicate effectively, verbally and in writing, including meeting facilitation and presentations with employer or provider groups Familiar with health insurance industry trends and technology Demonstrates competency in clinical case management and utilization management practices Experience using population statistics and their application in care management programs
Leads development of care management policies, procedures, and standards; establishes long-term departmental goals with division leadership; oversees program development, implementation, quality, and outcomes; adapts operational plans as needed Handles all management responsibilities including hiring, performance reviews, coaching, development, and retention; develops supervisors and participates in talent management activities Communicates organizational objectives; monitors metrics to ensure deliverables meet department and regulatory standards; implements policy updates and process improvements to maintain quality and service excellence Manages department budget and financial targets; authorizes expenditures; monitors workforce allocation and resources; oversees project plans Collaborates with other leaders across departments to resolve issues; creates visibility and support for care management programs; may develop and present educational updates to other departments Maintains clinical competency and stays current on medical practices and industry trends; develops resource materials; provides education about programs to employees, providers, and community stakeholders As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish
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