Supervisor, Clinical Operations
Bcidaho

Job Info

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Blue Cross of Idaho is seeking a Supervisor to oversee the day-to-day activities of staff performing case and disease management activities. Support programs and assist in developing programs and initiatives for Commercial, and Federal Employee Plan (FEP) Lines of Business. Work effectively with other Health Management supervisors and managers and represent Blue Cross of Idaho to external providers, employer groups, and brokers.

We're looking for a Supervisor with:

Experience: 5 years' relevant experience

Education: Associate Degree in Nursing or Bachelor's Degree in Social Work; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

Licenses/Certifications: Must hold one of the following:

• Valid unrestricted Idaho Registered Nurse Licensure
• Valid unrestricted Idaho Social Work License

Preferred Qualifications:

• Bachelors Degree in Nursing
• Masters Degree in Social Work

What a day would look like:

• Provide day-to-day oversight of the functional area assigned.
• Monitor quality performance measures and confirms appropriate completion of work assignments.
• Provide input and support for changes to applicable systems and processes.
• Provide guidance, counseling, coaching, and continuing education opportunities to staff. Selects, develops, mentors, and assesses performance of staff.
• Participate in process improvement initiatives and implements outcomes.
• Assist in the development of departmental policies, procedures, service standards, and workflows.
• Develop and maintain department specific documentation, to include policies, procedures, service standards, and workflows.
• May participate in goal setting process for the unit and/or department.
• May design, update, and maintain special programs.
• May participate in internal/external audits.
• Performs other duties and responsibilities as assigned.

Additional skills that we are looking for:

• High degree verbal and written communication
• Managed care delivery systems including Medicare/Medicaid plans
• Care Coordination /Case Management
• Time management; Prioritize work
• Ability to provide and receive constructive feedback
• Prioritize work and run multiple initiatives

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

This job has expired.