Maternity Case Management Supervisor (PST or MST time zone)

Job Role:

The Case Management (CM) Supervisor of Maternity is primarily responsible for managing the CM staff in the day-to-day operations of the department. This includes oversight and adjustment of work queues to maintain workflow balance; monitoring and facilitating adherence to department and company metrics; training of new hires and current staff; and various other duties to support the case management staff and the company program. The Supervisor also assesses the CM Maternity program for opportunities to improve efficiencies and/or improve outcomes.

Reporting to the Manager of Maternity CM, the Supervisor will work closely with the management staff and plays a key role in implementing the culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission.

Responsibilities:

· Supports team members and clients in the day-to-day operations of Maternity CM Department.

· Meets with staff regularly to touch base, get feedback and to hear and address their concerns or issues.

· Oversees team caseload in the medical management system and consults with staff to adjust as needed. This includes regular case review (in addition to staff assessments).

· Provides coverage for CM caseload as needed for emergency coverage.

Qualifications:

· Registered Nurse (RN) with a current, unrestricted license is required.

· BSN is strongly preferred.

· Three or more years of experience in a Case Management role is required.

· Previous experience in a Maternity case management program preferred.

· Experience in a team lead or supervisory role managing nursing staff is desired.

· CCM certification required within the timeframe specified by company policy.

· Must be available to stay late, as needed, to manage staff and caseloads.

· Experience with NCQA standards preferred.

· Must have demonstrated strong problem-solving skills.

· Must have proven track record of utilizing tact, diplomacy, and strategic thinking in addressing issues and changes in company policy, etc.

· Must be self-motivated and willing to learn multiple tasks.

· Must be well organized and able to prioritize tasks.

· Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc.)

· Must demonstrate accuracy in spelling and documentation.

· Must have commitment to excellence in customer service.

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com