Jobs for Humanity is partnering with Oklahoma Complete Health to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Oklahoma Complete Health

Supervisor of Care Management

Are you passionate about transforming healthcare and making a difference in the lives of people in Oklahoma? Join our team at Oklahoma Complete Health, a Centene company, to be a part of a diverse and growing organization. We value work-life balance, offer competitive compensation, and provide continuous career development opportunities.

Position Purpose:

As a Supervisor of Care Management, you will be responsible for implementing our Care Management programs in multiple areas including Prior Authorization, Concurrent Review, and Care Management. Your role will involve managing daily operational processes to ensure a seamless continuum of care for our members. We are looking for someone who embraces a patient advocacy approach, prioritizes continuity of care, and is committed to assisting members in accessing necessary services.

Your Responsibilities:

• Supervise and support a team of care managers, including hiring, training, and performance evaluations.
• Ensure appropriate triage of members at risk and supervise the assessment of members' needs.
• Develop comprehensive care management plans based on assessment information.
• Coordinate activities and resources to meet members' needs.
• Identify and address deficits between member requirements and available benefits.
• Collaborate with other departments to monitor programs and evaluate their effectiveness.
• Maintain relationships with care management vendors to ensure compliance with policies and regulations.
• Communicate with providers, members, and community resources to support the planning and implementation of care plans.
• Conduct audits and contribute to corrective actions as needed.
• Perform Care Management activities as required.

Qualifications:

• CCM certification and a Baccalaureate degree preferred, or MSW with appropriate care management experience.
• Minimum five years of clinical experience and at least two years of supervisory experience.
• Current, valid, and unrestricted professional licensure required. Current, valid, and unrestricted RN licensure preferred.

Our Benefits:

• Flexible work solutions including remote options, hybrid work schedules, and dress flexibility.
• Competitive pay and paid time off, including holidays.
• Health insurance coverage for you and your dependents.
• 401(k) and stock purchase plans.
• Tuition reimbursement and best-in-class training and development.

Join our team and be a part of an inclusive and diverse organization that values your unique contributions. We are an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.