Remote Manager - Case Management

8 hours ago

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $95k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Guide Healthcare

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Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.

Physiotherapy • Podiatry • Speech Pathology • Dietetics • Recruitment

51 - 200 employees

Founded 2018

⚕️ Healthcare Insurance

🎯 Recruitment

📋 Description

• In this position you will lead this department in meeting their care management goals. • The team is responsible for outreach to select patients identified by Blue Cross Blue Shield through ICD 10 codes, readmissions and frequency of ER visits. • This role is responsible for project management and supervision of the Case Managers. • You will work to meet the Key Performance Indicators around program enrollment. • Managing departmental expectations including staff hiring, orientation oversight, auditing, and reviews; time management; motivation; and performance improvement. • Creating and monitoring of KPIs and metrics to ensure levels of service are met. • Serving in project management and delegation of duties to ensure coverage for all tasks. • Prioritizing of data, tasks, and requirements. • Representing Guidehealth for BCBS audits with development of actions plans for each individual IPA to ensure compliance and incentive payouts. • Overseeing all projects, daily tasks and PHM activities in an organized and efficient manner. • Ensuring access to EMR systems for department staff. • Monitoring staff maintenance of HIPPA regulations. • Communicating with IPA Administrators and Client Business Managers to ensure resolution of any concerns. • Identifying and disseminating of Health Plan announcements applicable to Population Health.

🎯 Requirements

• Registered Nursing Degree from an accredited school with 5+ years management experience in a Care Management setting. • 5+ years of related work experience managing a dynamic, high performing team. • Knowledge set including: project management, team management, evidenced based practices, social determinants/barriers of health, motivational interviewing, and goal setting. • Experience working with complex data sets. • Healthcare data experience.

🏖️ Benefits

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs. • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered. • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution. • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected. • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times. • Take Time for Yourself: We offer Flexible Time Off tailored to meet your needs and the needs of the business, helping you achieve work-life balance and meet your personal goals. • Support Your New Family: Guidehealth offers paid parental leave to give you the time you need. • Learn and Grow: Guidehealth offers various resources dedicated to your learning and development to advance your career with us.