Cambia Health Solutions Supervisor Care Management in Portland, Oregon

Overview:

Supervisor Care Management Nurse

Portland, OR; Tacoma, WA; Burlington, WA; Lewiston, ID

Responsibilities & Requirements:

Exciting opportunity to bring your nursing, case management, and analytic skills to the newly formed Specialized Care Management Team. This team is creating new processes to identify and assist our members who are dealing with the most serious and complex health conditions and situations. In addition, this position will:

  • Supervise the team and acts as a resource for care management professional and support staff.

  • Oversee and coordinate team activities to achieve business objectives and ensure medically necessary, cost-effective, quality care is delivered to members through various care management programs, including case management, disease management and care coordination.

Competencies and Knowledge:

  • Demonstrated competency in setting priorities for a team and overseeing work outputs and timelines.

  • Ability to communicate effectively, verbally and in writing including with employer or provider groups.

  • Ability to effectively develop and lead a team (including employees who may be in multiple locations or work remotely).

  • Demonstrated experience in recognizing problems and effectively resolving complex issues.

  • Familiarity with health insurance industry trends and technology.

  • Demonstrated competency related to clinical case management and utilization management practices.

  • Experience using population statistics and their application in care management programs.

Normally to be proficient in the competencies listed above:

  • A Supervisor of Care Management would have a bachelor’s degree in Nursing or related field and 3 years of lead experience and 5 years of clinical experience or equivalent combination of education and experience.

Required Licenses, Certifications, Registration, Etc.

  • Must have licensure or certification, in a state or territory of the United States, in the health or human services-related field that allows the professional to conduct an assessment as permitted within the scope of practice of the discipline (e.g. medical vs. behavioral health) and at least 3 years full time equivalent direct clinical care.

  • For medical care management, must have a current unrestricted Registered Nurse (RN) license, in a state or territory of the United States.

  • Certification as a case manager from the URAC-approved list of certifications preferred.

About Us:

Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.If you’re seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.

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Requisition ID 2017-23128

Job Locations US-OR-Portland

US-ID-Lewiston

US-WA-Burlington

US-WA-Tacoma

Category (Portal Searching) Health Care Services