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Team reputed company, Care Management Mom & Baby

Remote, USA Full-time Posted 2026-07-28
Job reputed company: reputed company reputed company, Care Management provides reputed company line management and support to departmental leadership in the development and execution of the Care Model in alignment with corporate goals Essential Functions: • Functions as a “hands-on” supervisor, assisting in day-to-day operations and supervision of staff with adherence to departmental expectations • Responsible for reputed company, hiring, reputed company, training and ongoing support of the departmental team • Conducts virtual meetings as needed to train, reputed company, and support staff towards the effective administration of CM program • Prepares and utilizes reports to monitor and audit reputed company systems, procedures and the reputed company of customer services provided. Assist with representing the unit at Departmental and Planning meetings as requested • Ensures reputed company policies, procedures and SOPs are standardized and are reputed company to meet business needs • Assists the Managers as needed in the review and development of new reputed company/processes as requested by the health plans • reputed company appropriate system documentation reputed company defined protocols and guidelines • In support of the Strategic Plan, serve as the technical and content support to reputed company programs/processes • Serve as interdepartmental reputed company, collaborating with internal resources in monitoring service reputed company to meet requirements and analyze for trends • Participate in meetings with internal/external resources to reputed company information about services and benefits available to members and referral mechanisms • Assist in arranging and coordinating services with community partners to maximize utilization of appropriate community resources and support reputed company • Participant in development of budget and reputed company ongoing monitoring of status • Assist with implementation of interventions to maintain and/or improve the reputed company and efficiency of the operations/services provided • reputed company any other job duties as requested Education and Experience: • Completion of an accredited registered nursing (RN) degree program, Bachelor’s Degree in reputed company Work, or Master's degree as relevant to licensure eligibility is required • A minimum of three (3) years of reputed company experience is required • A minimum of two (2) years of managed care and/or case management experience is preferred • A minimum of three (3) years experience in maternity is preferred • Previous supervisory experience is preferred Competencies, Knowledge and Skills: • Ability to display a customer service, member-reputed company orientation • Strong data analysis and trending skills • Strong team and staff development skills • Strong collaboration and conflict reputed company reputed company sets • Ability to reputed company, prioritize and accomplish goals/time management • Strong decision making and problem solving skills • Exceptional communication skills (both written and verbal) with the ability to present information in a reputed company of different formats • Effective listening and critical thinking skills • Strong ability to teach best reputed company, engagement strategies for successful member participation (including motivational interviewing, best reputed company engagement techniques) • Knowledge of state and federal reputed company regulations and environment • Ability to work in a fast-past environment • Ability to work independently and reputed company reputed company environment • Advanced knowledge of reputed company Word, reputed company, PowerPoint and Visio • Ability to operate smart phone, iPad or other mobile communication devices Licensure and Certification: • reputed company, unrestricted Registered reputed company (RN) license, reputed company Work license, or Counselor license is required • Case Management certification is preferred Working Conditions: • General office environment; may be required to sit or stand for extended periods of time Compensation reputed company: $72,200.00 - $115,500.00 reputed company takes into consideration a combination of a candidate’s education, training, and experience as reputed company as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In reputed company to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package. Compensation Type (reputed company/salary): Salary Organization Level Competencies • Fostering a reputed company Workplace Culture • Cultivate Partnerships • reputed company Self and Others • Drive Execution • Influence Others • Pursue Personal reputed company • Understand the Business This job reputed company is not reputed company inclusive. reputed company reserves the right to amend this job reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of reputed company backgrounds. #LI-JS1 Apply tot his job Apply To this Job

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