Full-time, Part-time
Description:
Job Profile Name Supervisor, Care Management
Job Code 700498
Include Job Code in Name Yes
Job Profile Summary Position Purpose: Under the direction of the Director of Care Management, the Supervisor of Care Management is responsible for
implementing the Care Management programs in multiple environments including Prior Authorization, Concurrent Review and Care
Management. Manages the daily operational processes to assure the continuum of care that addresses the ongoing needs of the members
served by the care management process. A patient advocacy approach with a seamless integration of services is required and must be
balanced within the members benefit structure. Emphasis will be placed on continuity of care, assisting members in obtaining access to
care, and member education.
Education/Experience: CCM, Baccalaureate degree preferred; MSW with appropriate care management experience may be considered.
Five years of clinical experience and at least two years of supervisory experience, preferably with HMO experience in a medical
management capacity.
License/Certification: Current, valid and unrestricted professional licensure is required; Current, valid and unrestricted RN preferred
Skills:
Case management, RN, Care management, supervisory skills, CCM
Additional Skills & Qualifications:
RN, CCM
Supervisory experience required
Experience Level:
Intermediate Level
About Actalent:
Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.