Maternity Case Management Supervisor (PST or MST time zone)

ProgenyHealth, LLC; Harmonville (PA); On-site; USD 85,000 - 110,000; Full time

Job summary

ProgenyHealth, LLC in Harmonville, PA is seeking a Case Management Supervisor for Maternity to lead the CM staff in daily operations, balance workloads and ensure adherence to metrics and quality standards.

Reporting to Maternity CM management, you will train staff, oversee caseloads, and drive continuous improvement in outcomes and service delivery, in alignment with our mission and culture.

Qualifications

• Registered Nurse (RN) with a current, unrestricted license is required.
• BSN is strongly preferred.
• Three or more years of experience in a Case Management role is required.
• Previous experience in a Maternity case management program preferred.
• Experience in a team lead or supervisory role managing nursing staff is desired.
• CCM certification within company policy timeframe is required.
• Must be available to stay late to manage staff and caseloads.
• Experience with NCQA standards preferred.
• Demonstrated problem-solving, tact, diplomacy, and strategic thinking in addressing policy changes.
• Self-motivated and able to learn multiple tasks and stay organized.

Responsibilities

• Supports CM staff and clients in day-to-day Maternity CM operations.
• Meets with staff regularly to address concerns and provide feedback.
• Oversees team caseload in the medical management system and adjusts as needed.
• Provides coverage for CM caseload during emergencies.

Skills

Team leadership

Problem solving

Communication

Organization

Customer service

Education

RN license

BSN preferred

CCM certification

Tools

Microsoft Office

Job description

Job Role

The Case Management (CM) Supervisor of Maternity is primarily responsible for managing the CM staff in the day-to-day operations of the department. This includes oversight and adjustment of work queues to maintain workflow balance; monitoring and facilitating adherence to department and company metrics; training of new hires and current staff; and various other duties to support the case management staff and the company program. The Supervisor also assesses the CM Maternity program for opportunities to improve efficiencies and/or improve outcomes.

Description

The Case Management (CM) Supervisor of Maternity is primarily responsible for managing the CM staff in the day-to-day operations of the department. This includes oversight and adjustment of work queues to maintain workflow balance; monitoring and facilitating adherence to department and company metrics; training of new hires and current staff; and various other duties to support the case management staff and the company program. The Supervisor also assesses the CM Maternity program for opportunities to improve efficiencies and/or improve outcomes.

Reporting to the Manager of Maternity CM, the Supervisor will work closely with the management staff and plays a key role in implementing the culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission.

Responsibilities

• Supports team members and clients in the day-to-day operations of Maternity CM Department.
• Meets with staff regularly to touch base, get feedback and to hear and address their concerns or issues.
• Oversees team caseload in the medical management system and consults with staff to adjust as needed. This includes regular case review (in addition to staff assessments).
• Provides coverage for CM caseload as needed for emergency coverage.

Requirements

• Registered Nurse (RN) with a current, unrestricted license is required.
• BSN is strongly preferred.
• Three or more years of experience in a Case Management role is required.
• Previous experience in a Maternity case management program preferred.
• Experience in a team lead or supervisory role managing nursing staff is desired.
• CCM certification required within the timeframe specified by company policy.
• Must be available to stay late, as needed, to manage staff and caseloads.
• Experience with NCQA standards preferred.
• Must have demonstrated strong problem-solving skills.
• Must have proven track record of utilizing tact, diplomacy, and strategic thinking in addressing issues and changes in company policy, etc.
• Must be self-motivated and willing to learn multiple tasks.
• Must be well organized and able to prioritize tasks.
• Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc.)
• Must demonstrate accuracy in spelling and documentation.
• Must have commitment to excellence in customer service.

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: [e-mail]

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.