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Supervisor, Care Management
Centene CorporationSupervisor of care management team for Centene, promoting quality and efficacy of care management delivery. Overseeing escalations, member support, and team performance evaluations.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management supervision, ensuring compliance with federal and state regulations while promoting high-quality care delivery. Capable of leading teams, providing coaching, and facilitating effective communication between members and providers.
Highest-signal resume keywords
RN - Registered Nurse - State LicensureCare Management SupervisionTeam LeadershipPerformance EvaluationCompliance Monitoring
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementDocumentation ReviewMember OutreachCaseload AssignmentTelephonic OutreachDigital OutreachHome OutreachTraining and Onboarding
Soft Skills
CoachingGuidanceCommunicationProblem-Solving
Certifications & Qualifications
Accredited Nursing Degree
Industry Keywords
Federal RegulationsState RegulationsContractual AgreementsCare Management Team
About the role
Key responsibilities & impact- Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery
- Supervises day-to-day escalations and care management issues related to members or providers
- Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
- Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs
- Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
- Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers
- Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
- May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
- Provides coaching and guidance to care management team to improve member and provider experience and high-quality care
- Assists with onboarding, hiring, and training care management team members
- Leads and champions change within scope of responsibility
Requirements
What you’ll need- Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Benefits
Comp & perks- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules