Supervisor Case Manager (Specialty Team)

Lifetime Workforce Solutions, LLC; Buffalo (NY); On-site; USD 72,000 - 129,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Wellness program

Paid time off

Paid holidays

Job summary

CDPHP is seeking a dynamic Case Management Supervisor to lead a team of Dietitians and Respiratory Therapists, coordinating daily CM activities and driving quality improvements. The role emphasizes staff development, regulatory compliance, and collaboration across internal/external stakeholders to support care delivery and operational excellence.

The ideal candidate holds NYS clinical licensure with 3+ years in case management and demonstrates strong leadership, analytical, and communication

Qualifications

• Current NYS clinical licensure with 3+ years in case management/quality improvement.
• Knowledge of NCQA and/or Medicare/Medicaid guidelines preferred.
• Ability to multitask and balance priorities.
• Proficient with Word, Excel, Internet and email.
• Strong leadership, communication, problem solving and analytical skills.

Responsibilities

• Supervise CM staff, including development plans, performance reviews, and disciplinary actions.
• Coordinate daily activities and staffing to meet Health Plan goals.
• Recruit, train and retain CM staff; verify licenses as applicable.
• Lead team meetings and maintain CM program documentation and reports.
• Ensure compliance with regulatory and accreditation standards and monitor performance metrics.

Skills

Leadership

Multitasking

Communication

Computer skills (Word, Excel, Internet

Education

Current NYS clinical licensure (RN, LHC Clinician, PT, NP, PA, or Dietitian) with 3+ years case management/quality improvement

Tools

Word

Excel

Internet

Email

Job description

Job Description: Summary:

This position supervises, coordinates and is accountable for the daily work of employees who provide case management and clinical related services. The Supervisor facilitates day‑to‑day operations of the department such as customer requests, coordination of department projects, staffing, etc. This position provides CM representation at various internal and external meetings. This individual will lead a dynamic team of Dietitians and Respiratory Therapists while driving innovation that enhances care delivery and operational excellence. This high‑impact role combines people leadership, workflow development, and the opportunity to champion exciting initiatives that shape the future of the organization.

Essential Accountabilities:

Provides direction and supervision to the CM staff including departmental function, individual development plans, performance reviews, and disciplinary actions. Responsible for coordinating communications and daily activities of the staff and ensuring adequate staffing to accomplish Health Plan goals. Participates in recruitment, training, and retention of staff. This includes initial and periodic license verification when applicable. Conducts periodic case reviews, employee performance reviews, and staffing patterns, identifying areas needing improvement and initiates appropriate action including productivity monitoring and inter‑rater reliability. Holds staff accountable for meeting performance metrics and implements performance management process as necessary. May maintain individual case load, handles a subset of member clinical management programs (including physical health and behavioral health conditions). Coordinates regular team meetings with staff. Maintains employee files with updated annual performance reviews, professional and mandatory education, and annual statements with signature. Assists in the development of policies and procedures related to CM. Assists in implementing and monitoring departmental changes and initiatives necessary to accomplish Health Plan goals. Applies project management skills by developing and implementing new initiatives. Provides presentations as related to specific functions of area supervised. Is an effective liaison with other departments, members, providers, and community agencies. Identifies strategies to improve health care resource management and communicates to internal and external customers. Instructs and acts as a resource for staff in dealing with special situations or problems. Maintains documentation relative to the activities of the department and prepares reports as necessary, including those related to Quality Improvement activities. Keeps designated management aware of progress toward goals and productivity. Ensures staff compliance with all regulatory and accreditation standards. Keeps abreast of changes and responsible for implementation and monitoring of requirements. Accepts responsibility for personal professional education requirements per departmental policy. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities are compliant with these requirements. Conducts periodic staff meetings to include timely distribution and education related to departmental and Ethics/Compliance information. Performs other duties and functions as assigned by management.

Minimum Qualifications:

• Current New York State clinical licensure (RN, Licensed Behavioral Health Clinician, PT, NP, PA, or Dietician) with a minimum of three years of case management/quality improvement experience or equivalent required.
• Knowledge of NCQA and/or Medicare and Medicaid guidelines preferred.
• Ability to multitask and balance priorities.
• Must demonstrate proficient experience in use of a computer. Example-creating documents, Word, Excel, Internet and email.
• Must possess strong leadership skills, excellent written and verbal communication skills, problem solving and analytical skills and the ability to deal effectively with all levels of personnel in the health care industry.
• For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within two (2) years of either hire and/or moving into this role supporting the FEP LOB.

Physical Requirements:

Ability to travel and work long hours on a computer. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Compensation Range(s):

E5: Minimum: $71,880 - Maximum: $129,384 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

• group health and/or dental insurance
• retirement plan
• wellness program
• paid time away from work
• paid holidays

Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case‑by‑case basis.

Equal Opportunity Employer

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

One Mission. One Vision. One I.D.E.A One you. Together we can create a better I.D.E.A for our communities. At CDPHP, we're on a mission to make our communities healthier and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A Mindset (Inclusion, Diversity, Equity & Access). By activating the experiences, skills and perspectives of our employees, we take action toward greater health equity. We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans and other underrepresented groups to apply.