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RN Care Management Supervisor (Maternity/NICU Focus) at BlueCross BlueShield of South Carolina - ApplyBlast

RN Care Management Supervisor (Maternity/NICU Focus)

BlueCross BlueShield of South Carolina

10 days ago

Remote

Full Time

Manager

0 applicants

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About this role

The Care Management Supervisor oversees daily operations and staff for areas including Utilization Review, Case Management, and Quality Management at BlueCross BlueShield of South Carolina. This fully remote role involves supervising personnel, ensuring compliance with healthcare standards, and managing data collection for specialty programs. The position requires strong leadership skills and expertise in healthcare delivery systems to maintain high-quality service for customers.

Responsibilities

Supervise daily operations for utilization review, case management, and medical review staff
Develop and oversee specialty programs including wellness and disease management initiatives
Conduct data collection and ensure compliance with URAC and NCQA standards

Skills

Qualifications

Associate's in a job-related fieldGraduate of Accredited School of NursingActive, unrestricted RN licensure from the United States and in the state of hireactive compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)active, unrestricted Professional Healthcare Licensure and/or Certification from the United States and in the state of hire, in area of specialty