Supervisor - Case Management (Remote U.S.)

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes, making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Supervisor – Case Management (Remote U.S.) to join our growing team.

Job Summary:

The Case Management Supervisor plays a pivotal role in our team's success, responsible for supervising and managing the day-to-day activities of the assigned case management team in the Field or via Telephone. The Supervisor's guidance, mentorship, and training ensure that our team delivers quality care, meets URAC requirements, and fulfills contract deliverables.

Using independent judgment, the Supervisor utilizes clinical knowledge and competence, communication skills, problem-solving, and conflict resolution to effectively ensure optimal client outcomes, considering payor/client requirements. The supervisor also works effectively with all healthcare team members internally and externally.

Supports the interdisciplinary team's underlying objectives of maximizing enrollment, enhancing the quality of clinical outcomes (including beneficiary satisfaction), ensuring contractual, regulatory, and accreditation compliance, and providing timely and accurate data and communications.

** Work Hours: Monday through Friday, 8:00 AM – 5:00 PM in either the Central or Eastern Time Zone. **

Job Responsibilities:

• Supervise, mentor, coach, and develop the case management team in the care coordination/case management of beneficiaries; ensure a high level of clinical knowledge and performance by the clinical team. Foster a caring philosophy in leadership and all aspects of the case management process.
• Utilize clinical knowledge, communication skills, and the ability to solve problems and manage conflicts to manage clients' care through the health or social care systems based on their individual needs.
• Oversee team’s work assignments, assess, evaluate, and address workload; adjust to meet department and contract requirements; measure results and initiate personnel actions as required. Apply a comprehensive knowledge of case and disease management and caring concepts to all aspects of assignments.
• Develop case management staff, identify orientation and continuous learning needs in collaboration with direct leadership, and develop and implement plans to address those learning needs.
• Responsible for quality monitoring activities, including identifying areas for improvement for individual team members, processes, and quality improvement initiatives. Ensures compliance with regulatory and accreditation standards and contractual service level agreements.
• Participates in developing, implementing, evaluating, and revising clinical pathways/assessments, care plans, and other care management tools that specifically support the Funds programs.
• Maintains open communication with all appropriate parties and facilitates communication to/between members of the care team, including Funds Field Staff; ensures accurate and timely documentation and reporting.
• Uphold strict standards for client confidentiality and client-related information; follow all organizational, state, and federal regulations and policies on confidentiality.

• Performs other duties related to case management supervision functions as needed.

Requirements

Required Qualifications/Experience:

• Active, unrestricted RN with a compact state license.
• Bachelor’s degree.
• 3+ years of clinical experience in Medical, Behavioral, acute care and/or home care settings.
• 3+ years of Case Management experience.
• Achieves Utilization Review Accreditation Commission, URAC-recognized certification in case management within 3 years of directly supervising the case management process.
• Required to pursue ongoing education, certification, and self-development to remain current with case management standards.
• Remain current on care management documentation and complete reports promptly.
• Possesses knowledge of clinical aspects of nursing/case management with a focus on geriatrics and chronic diseases.
• Strong supervisory skills.
• Excellent verbal and written communication skills, excellent interpersonal communication, and negotiation skills.
• Ability to utilize critical thinking and apply sound clinical judgment and assessment skills for decision-making and guiding staff.
• Understanding of the importance of instilling a caring philosophy in all aspects of the care management process.
• Strong analytical and data management skills.
• Effective organizational and time management skills and the ability to prioritize multiple tasks. Demonstrate organization and efficiency in prioritizing and managing assignments with minimal oversight and direction.
• Expertise in Microsoft Office and other software programs.
• Capability to enter and retrieve data from relevant computer systems.

Preferred Qualifications/Experience:

• Graduation from an accredited School of Nursing or college Bachelor’s degree in Nursing or a related field.
• 1+ years of experience in geriatrics and multiple chronic disease programs.
• Previous workload management experience.
• Strong supervisory experience and knowledge; preferably over telephonic and/or in-home case management.
• Certified Case Manager (CCM).

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

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Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation

The pay range for this position is $80,000-85,000 annually.

“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”