Supervisor, Care Management

Responsibilities

:

• Provide day-to-day leadership, direction, and oversight of the Care Management team, including staff responsible for case management screening, care coordination, case management, and related support services.
• Ensure team members receive appropriate orientation, training, and ongoing development related to organizational policies, departmental procedures, and clinical best practices.
• Monitor staff performance, conduct coaching and performance management activities, and support employee engagement and professional development.
• Provide clinical oversight and guidance to ensure quality care management services are delivered in accordance with regulatory requirements and organizational standards.
• Coordinate and oversee Care Management programs to ensure compliance with state, federal, accreditation, and contractual requirements.
• Collaborate with the Manager of Integrated Care Management to prepare reports, analyze operational performance, and identify opportunities for improvement.
• Monitor program outcomes, productivity, and quality metrics to ensure effective service delivery and member satisfaction.
• Participate in the evaluation, development, and implementation of new or revised workflows, policies, procedures, and care management initiatives.
• Support regulatory audits, compliance reviews, and quality improvement activities.
• Contribute to the development of educational materials, training programs, and resources designed to support business objectives, member needs, and regulatory requirements.
• Partner with internal departments and stakeholders to improve processes, enhance care coordination, and support strategic initiatives.
• Promote a culture of collaboration, accountability, and continuous improvement within the Care Management team.

Education & Experience:

• Bachelor’s degree in nursing required.
• Current, active, and unrestricted Registered Nurse (RN) license in New Hampshire.
• 3 to 5 years of case management experience.
• 2 years of direct supervisory experience.
• 3 to 5 years of experience within healthcare, managed care, or related environments.
• Experience overseeing clinical operations, care coordination programs, or population health initiatives is highly preferred.
• Experience working with regulatory requirements, quality standards, and healthcare compliance programs.

Licensure:

• Current, active, and unrestricted Registered Nurse (RN) license in New Hampshire.

Skills & Abilities:

• Strong leadership and team development skills with the ability to motivate, coach, and mentor staff.
• Knowledge of care management, care coordination, case management, and population health principles.
• Ability to interpret and apply healthcare regulations, policies, and clinical standards.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong organizational and time management skills with the ability to prioritize multiple responsibilities in a fast-paced environment.
• High attention to detail and commitment to quality and compliance.
• Excellent verbal and written communication skills with the ability to effectively communicate across all levels of the organization.
• Strong collaboration and relationship-building skills with internal and external stakeholders.
• Proficiency with electronic medical record systems, healthcare technology platforms, and Microsoft Office applications.