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Remote Manager, Case Management

Posted 8 weeks ago
Project Management
Full Time
USA
95000 USD/year

Overview

In this position you will lead this department in meeting their care management goals, responsible for outreach to select patients and project management.

In Short

  • Managing departmental expectations including staff hiring and performance improvement.
  • Creating and monitoring KPIs and metrics.
  • Project management and delegation of duties.
  • Prioritizing data, tasks, and requirements.
  • Representing Guidehealth for BCBS audits.
  • Overseeing all projects and PHM activities.
  • Ensuring access to EMR systems for staff.
  • Monitoring staff maintenance of HIPAA regulations.
  • Communicating with IPA Administrators and Client Business Managers.
  • Identifying and disseminating Health Plan announcements.

Requirements

  • Registered Nursing Degree with 5+ years management experience.
  • 5+ years of related work experience managing a team.
  • Knowledge in project management and evidenced based practices.
  • Experience working with complex data sets.
  • Healthcare data experience.

Benefits

  • Work from Home flexibility.
  • Comprehensive Medical, Dental, and Vision plans.
  • 401(k) plan with employer match.
  • Life and Disability insurance.
  • Employee Assistance Program (EAP).
  • Flexible Time Off.
  • Paid parental leave.
  • Resources for professional growth.
Guidehealth logo

Guidehealth

Guidehealth is a data-driven healthcare company focused on operational excellence and improving patient care. With a mission to make healthcare affordable and enhance the practice of medicine for providers, Guidehealth utilizes AI and predictive analytics to foster strong connections between patients and healthcare providers. The company is physician-led and emphasizes high-quality healthcare outcomes, leveraging remotely-embedded Healthguides™ and a centralized Managed Service Organization to support its partners in delivering value-based care.

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