Supervisor Case Manager Long-term Care - Delaware (Kent, Sussex, New Castle)

Job description

Company: Highmark Inc. Job Description: JOB SUMMARY This job manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and to promote effective use of resources for members enrolled in DSHP Plus LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a Case Manager as needed. This is a full time community based position requiring frequent travel within the assigned territory in Delaware. ESSENTIAL RESPONSIBILITIES: - Manage a team of community based Case Managers. - Promote quality member outcomes to optimize member benefits and to promote effective use of resources. - Act as a role model to staff and assisting in the day to day activities as needed. - Ensure care is medically appropriate, high quality, and cost effective. - Conduct frequent ride-alongs and shadowing of Case Managers for hands on support, quality assurance, and to identify training opportunities. - Apply clinical knowledge to work with facilities and providers for care-coordination. - Participate in rounds with the Medical Director. - Review documentation and process...