Manager, Case Management

Bachelor's degree in Nursing or related field or equivalent experience Current unrestricted RN license in the appropriate state or territory of the United States Must obtain a URAC-recognized Case Management certification within 2 years of hire If supporting TRICARE contract, must be a U.S. Citizen If supporting TRICARE contract, must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation Minimum of five years clinical experience with progressively responsible management experience in CM or DM operations and program development Preferred: Master's degree in Nursing or related field Military or Veteran Health experience URAC-recognized Case Management Certification upon hire 2 years’ experience providing direct clinical care to patients Competencies: Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Empathy / Customer Service: Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Leadership: Successfully manage different styles of employees; Provide clear direction and effective coaching. Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; Has a realistic understanding of relevant issues. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Knowledge of TRICARE programs and benefits; managed care, and healthcare principles and delivery systems; case management interventions; psychosocial and community support systems and crisis intervention strategies; collaboration skills; legal, regulatory requirements and HIPAA privacy regulations. Working knowledge of workers’ compensation principles; Proficient with the Microsoft Office suite of applications. Working Conditions: Remote/virtual environment Regular and reliable attendance is required. Availability to cover any work shift Ability to travel as needed Extensive computer work with long periods of sitting

Need help crafting an effective cover letter and resume for this role?

Get access to our expert resources: our proven framework offers successful strategies, helps you find the best-fit positions, craft standout cover letters, optimize your resume, and much more.

Get Started