/Your Talent. Our Vision./At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it's a powerful combination. It's the foundation upon which we're creating greater care for our members, greater value for our customers and greater health for our communities. Join us and together we willdrive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve.
The Health Home Clinical Manager (Manager, Case Management) is responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs.
Primary duties may include, but are not limited to:
Responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Other job related duties as assigned.
Requires a BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required.
Certification as a Case Manager is preferred.
Direct management of Case Managers experience required.
For URAC accredited areas the following applies: Requires a BA/BS; 5 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background.
Current and active RN license required in applicable state(s).
WA Health homes experience preferred
Certification as a Case Manager from the approved list of certifications and a BS in a health or human services related field preferred.
Managers who have directly supervised the case management process for three or more years must hold a certification as a case manager and meet continuing education requirements to maintain licensure and certification.
/Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at//antheminc.com/careers//. EOE. M/F/Disability/Veteran.__/
Title: Health Home Clinical Manager, Case Management, Seattle
Requisition ID: 120757
A little about us:
We have shared values and a similar mission.