Remote Lead - TRICARE Special Programs & Care Coordination

TriWest Healthcare Alliance Corp.; Phoenix (AZ); Remote; USD 101,000 - 119,000; Full time

Benefits offered by this job

Medical, Dental and Vision Coverage

401(k) Retirement Savings Plan (with-m

Job summary

TriWest Healthcare Alliance is seeking a Manager to lead a team of clinical and non-clinical staff in benefit administration, prior authorization, and care coordination for TRICARE beneficiaries eligible for ECHO and Autism Care Demonstration programs. You will implement program components and ensure CM and care coordination align with contract standards under the Director of Case Management.

The role requires RN or LCSW with unrestricted license, a health-related bachelor's degree, U.S.

Qualifications

• RN or LCSW with unrestricted license.
• Bachelor's degree in health-related field or equivalent experience.
• U.S. Citizen for TRICARE contract.

Responsibilities

• Direct operational leadership of CM Special Program functions and staff to ensure contract compliance.
• Monitor day-to-day operations to identify barriers to excellent service for beneficiaries.
• Evaluate staff performance and provide coaching; complete annual appraisals.

Skills

Clinical care

Case management

Supervisory experience

Communication

Education

RN license

LCSW license

Bachelor's degree in health-related field

Job description

TriWest Healthcare Alliance is seeking a Manager to lead a team of clinical and non-clinical staff in benefit administration, prior authorization, and care coordination for TRICARE beneficiaries eligible for ECHO and Autism Care Demonstration programs. You will implement program components and ensure CM and care coordination align with contract standards under the Director of Case Management.

The role requires RN or LCSW with unrestricted license, a health-related bachelor's degree, U.S.