Resp & Qualifications
The Senior Care Manager works in conjunction with other members of the interdisciplinary care team using a proactive approach to facilitate effective and efficient member care management. The Senior Care Manager demonstrates initiative and self-direction in managing and providing oversight for Care Managers and Social Workers and other staff as assigned. This position is a working management position; the Senior Care Manager will perform all functions of Care Management in addition to supervising and ensuring staffing and performance within the Care Management unit.
Participates in providing member specific care management standards as directed, and follows clinical service and operational excellence standards to ensure performance goals, objectives and targets including member satisfaction, quality, utilization and health outcomes are met.
ESSENTIAL JOB RESPONSIBILITIES:
KNOWLEDGE, SKILLS AND ABILITIES:
Required: Comprehends complex clinical data. Computer and management reporting and analysis skills. Organizes, prioritizes, and manages time effectively. Ability to learn quickly and be flexible. Requires effective interpersonal and communication skills, both written and verbal, and the discretion to manage confidential patient information from medical records and other internal and external sources. Possesses the ability to make decisions of a highly complex nature with minimal direct supervision. Maintains strict confidentiality of all data and information. Exercises discretion in all interactions and maintains a reputation of trustworthiness among peers and medical staff.
EDUCATION AND EXPERIENCE:
Graduate of accredited Bachelor’s Degree in Nursing or higher level education
Knowledge of and experience using ICDs in the practice of clinical care and care management
Five years of Case Management experience
Two years of supervisory or management experience
LICENSES AND CERTIFICATES:
Current RN License
Reports to: Director of Care Management
Positions supervised: Care Managers and Social Workers
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Please apply before:6/6/2020
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship