Supervisor, Care Management

GlobalHealth, Inc.

. Develop and lead assigned members of the Care Management Team under the direction of the Director, Health Services .

Posted 10/27/2026full-timeRemote • Oklahoma • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Care Management, including program development, staff supervision, and effective communication. Proficient in evaluating program effectiveness and utilizing data to enhance member services while maintaining compliance with HIPAA regulations.

Highest-signal resume keywords

Active Registered Nurse LicenseManaged Care ExperienceProgram DevelopmentLeadership SkillsData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Nursing ProcessesDisease ManagementMedication KnowledgeCommunity ResourcesProgram EvaluationProcess ImprovementTraining FacilitationConfidentiality ManagementHIPAA Compliance

Soft Skills

Attention to DetailOrganizational SkillsTime ManagementProblem SolvingEffective Communication

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPoint

Certifications & Qualifications

Active Multi-State RN License

Industry Keywords

Care ManagementUtilization ManagementHigh-Risk ProgramsPerformance ImprovementProtected Health Information

About the role

Key responsibilities & impact

Develop and lead assigned members of the Care Management Team under the direction of the Director, Health Services
Determine, plan, develop, organize, implement, and evaluate SNP and other high-risk, high-utilization member programs
Select, orient, and develop qualified staff for the Care Management Department
Maintain and monitor departmental processes for timely outreach and management of identified members
Evaluate reports to identify outcomes and program effectiveness
Analyze outcomes and use data to develop processes that improve program effectiveness
Identify training needs and facilitate education and training
Communicate regularly with employees through staff meetings
Serve as a resource to all lines of business
Communicate with the Director, Health Services about departmental issues, performance improvement opportunities, member issues, program status, and compliance issues
Supervise members of the Care Management Team
Protect confidential business information and PHI

Requirements

What you’ll need

Active Registered Nurse license in the state of Oklahoma required
Active multi-state RN license is preferred
Previous experience in managed care/utilization management preferred
Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources
Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals
Strong organizational, leadership, problem solving, and decision-making skills
Must be able to communicate, both orally and in writing, clearly and effectively
Knowledge of Microsoft software programs including Word, Excel, and PowerPoint
Proven ability to work independently or as a member of a team
Must have access to a reliable and secured internet connection source
Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy
Must adhere to GlobalHealth privacy and security policies

Benefits

Comp & perks

Affordable health insurance coverage
Occasional travel may be required