Supervisor, Case Management

Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm, and every member feels valued.

The Supervisor, Case Management, is accountable for the day-to-day operational support and strategic activities of the assigned team. This position is also accountable for achieving department objectives and maintaining flexibility to meet business needs. Responsibilities include supervision of the clinical and non-clinical team members, ensuring that the strategic and business processes are established, maintained and communicated, and effective interdepartmental communications are established. This position resides in the Health Management department yet interacts regularly with other areas within Medica.

In addition to the coaching and staff development responsibilities, the Case Management Supervisor must also build strong relationships with internal and external partners. More specifically, support the Manager, Case Management in relationship building within Medica and its vendor partners to help prioritize, integrate and coordinate interventions for population segments based on medical, behavioral and social needs.

The supervisor will support the manager and work with staff to integrate and understand accreditation requirements and incorporate them into program activities.

Supervisory responsibilities include :

• Supervise day-to-day team responsibilities : recruiting, hiring, training and team members. Audit team members for compliance against policies and procedures and NCQA audit requirements. Manage team members' workload and monitor staffing ratios. Provide performance appraisals and reward recognition .
• Ensure that the Case Managers are accountable for engaging the members.
• Facilitate assigned team meetings and work with Managers and Supervisors and leads for coordinated departmental team meetings, functions and responsibilities.

Provides support to Manager to run monthly reports for business segments and leadership on key performance targets including, engagement of members, productivity, closure of gaps in care, outcomes, satisfaction surveys and quality indicators.

Key Accountabilities :

Comply with policy and procedures effectively and with appropriate documentation and ensure team meets all department, regulatory and accreditation requirements and goals

Leads and supervises the program and team as outlined under the Position Overview section

Work closely with project management team on implementation of new and renewing clients and for new and ongoing company and department initiatives

Assist in developing and maintaining strong, positive and open relationships with the employer groups and other internal and external stakeholders

Required Qualifications :

Licensure / Certifications :

Preferred Qualifications :

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations : Minnetonka, MN, Omaha, NE, or St. Louis, MO, and Madison, WI.

The full salary grade for this position is $77,100 - $132,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $77,100 - $115,710. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information are provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US : Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.