Lead Case Manager - Clinical Ops & Team Development

Jobtailor; Buffalo (NY); On-site; USD 70,000 - 100,000; Full time

Job summary

Jobtailor in Buffalo, NY seeks a Senior Case Management Supervisor to oversee daily CM operations and staff performance. You will coordinate department projects, staffing, and meetings while ensuring regulatory compliance and quality improvement across programs.

The role requires NY licensure and 3+ years in case management/quality improvement, with strong leadership, communication, and project management skills. Travel and extended computer use may be necessary.

Qualifications

• Current New York State licensure in a clinical field as listed.
• Minimum of three years of case management/quality improvement experience or equivalent.
• Knowledge of NCQA and/or Medicare and Medicaid guidelines preferred.
• Ability to multitask and balance priorities.
• Proficient computer use including document creation, Word, Excel, Internet and email.
• Strong leadership skills.
• Excellent written and verbal communication skills.
• Problem-solving and analytical skills.
• Ability to work with all levels in the health care industry.
• Case Management Certification within two years for Federal Employee Program incumbents.

Responsibilities

• Supervise, coordinate, and oversee daily work of case management staff.
• Facilitate department operations including customer requests, projects, and staffing.
• Represent case management at internal and external meetings.
• Lead a team of Dietitians and Respiratory Therapists.
• Direct and supervise CM staff, including development plans and performance reviews.
• Coordinate staff communications and daily activities and ensure adequate staffing.
• Participate in recruitment, training, and staff retention.
• Conduct case reviews, performance reviews, and staffing pattern reviews.
• Monitor productivity, inter-rater reliability, and performance metrics.
• Maintain an individual caseload and handle member clinical management programs when applicable.
• Coordinate regular team meetings.
• Maintain employee files and required education and annual statements.
• Assist with CM policies, procedures, departmental changes, and initiatives.
• Develop and implement new initiatives using project management skills.
• Provide presentations related to supervised functions.
• Liaise with departments, members, providers, and community agencies.
• Identify strategies to improve health care resource management.
• Instruct and support staff in special situations or problems.
• Maintain departmental documentation and prepare reports including Quality Improvement reports.
• Ensure compliance with regulatory and accreditation standards and monitor implementation of requirements.
• Maintain professional education and knowledge of legislative and regulatory mandates.
• Conduct staff meetings and distribute departmental and Ethics/Compliance information.
• Perform other duties assigned by management

Skills

Case Management

Quality Improvement

Project Management

Performance Management

Clinical Management

Regulatory Compliance

Data Analysis

Staff Training

Performance Reviews

Documentation Management

Education

New York State clinical licensure (RN, Licensed Behavioral Health Clinician, PT, NP, PA, or Dietitian)

Tools

Microsoft Word

Microsoft Excel

Email

Internet

Job description

Jobtailor in Buffalo, NY seeks a Senior Case Management Supervisor to oversee daily CM operations and staff performance. You will coordinate department projects, staffing, and meetings while ensuring regulatory compliance and quality improvement across programs.

The role requires NY licensure and 3+ years in case management/quality improvement, with strong leadership, communication, and project management skills. Travel and extended computer use may be necessary.