Job Summary

We offer remote work opportunities (AK, AR, AZ, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, WI & WY only)

This leader will report to the Manager of Case Management Special Programs under the overall Case Management program, specifically supporting TRICARE beneficiaries seeking benefits under Extended Care Health Option (ECHO) and Autism Care Demonstration (ACD). Supervises daily operations of case management special programs services and staff.

**Veterans, Reservists, Guardsmen, and military family members are encouraged to apply**

Education & Experience

Required:

• Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), with a current unrestricted license, with one (1) year supervisory experience or equivalent leadership role
• U.S. Citizenship
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation, and o Three years full-time equivalent of direct clinical care to the consumer, and, o Two Years care coordination or case management experience.

Preferred:

• Experience in TRICARE ECHO and Autism Care Demonstration programs.
• Bachelor's degree or higher in health-related field
• Case Manager Certification by a URAC-recognized entity (e.g. ANCC, CCMC). If not currently certified, certification will be required within two (2) years of hire.

Key Responsibilities

• Supervises the daily operations of case management specialty program services. Hires, coaches, counsels, evaluates, and develops clinical and non-clinical staff. Supports recruitment efforts by interviewing, selecting, and training new staff.
• Applies knowledge of HIPAA privacy and security regulations as well as URAC accreditation standards to ensure compliance in daily practice.
• Coordinates staff orientation and training. Ensures staff provides services within any associated scope of practice and in compliance with organizational protocols, desk procedures, and policies. Provides staff training, including training aids. Documents and assesses effectiveness of staff training.
• Supervises individual staff caseload and beneficiary needs to ensure timely delivery of care as well as productivity and timeliness requirements.
• Evaluates clinical and non-clinical performance for quality, timeliness, and process consistency. Conducts regular and ad hoc case review audits, providing staff feedback regarding results and process improvement. Participates in the evaluation of the case management program.
• Ensures compliance with TriWest policy and Health Care Services desk procedures.

• Collaborates with medical providers, the Director, Case Management and the Medical Director for Case Management on program interpretation and guidance.
• Participates in clinical and non-clinical performance improvement projects. Actively participates in meetings.
• Monitors and provides input on the performance of non-clinical staff.
• Supports department by covering case management and care coordination or carrying a case load as necessary.
• Performs other duties as assigned.
• Regular and reliable attendance is required

Competencies

Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback

Communication / People Skills: Ability to influence or persuade others under positive or challenging circumstances; adapt to different styles; listen critically; collaborate

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.

Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion.

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, tactics, and strategies.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Technical Skills: Thorough knowledge of TRICARE policies and procedures; Case Management, ECHO, Autism Care Demonstration, Referral Management, and Utilization Management principles; HIPAA Privacy and Security regulations; URAC accreditation standards, Managed Care concepts; community resources; alternative funding programs; medical management systems. Proficiency with International Classification of Diseases (ICD), Current Procedural Terminology (CPT), Healthcare Common Procedural Coding System (HCPCS).

Working Conditions

Working Conditions:

• Availability to cover any work shift
• Standard office environment or telecommuting options, minimal travel anticipated.
• Extensive computer work with prolonged sitting

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Generous paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.