Manager, Telephonic Case Management, RN

Description: • Foster a culture of collaboration, adaptability, and accountability by guiding day-to-day operations, championing process improvements, and ensuring team members are equipped to succeed through training, feedback, and professional growth opportunities. • Lead a team of remote, telephonic complex care RN case managers to deliver high quality service to Tricare beneficiaries. • Guide day-to-day operations of case management team, ensuring quality and performance. • Champion process improvements and participate in performance/quality improvement projects. • Provide training, feedback, and professional growth opportunities to team members. • Navigate multiple simultaneous work demands remotely and resolve issues independently. • Use Microsoft Office and mobile technologies to manage work and communications. Requirements: • Must hold United States citizenship status. • Ability to obtain Security Clearance required. Current DOD Security Clearance preferred. • Current, unrestricted RN license in state of residence with multi-state privileges (an active compact state license) • 2+ years of direct experience managing a clinical team. • 5+ years of RN experience in a clinical role with responsibilities for direct patient care. • Bachelor's degree in nursing from an accredited college, university, or school of nursing required. • Experience as an RN in case management operations. • Experience managing RN teams in a remote environment. • Proficient in Microsoft Office product suite (Word, Excel, PowerPoint, Outlook, Teams) and mobile technologies (laptop, smartphone apps, etc.). • Preferred: Case Management Certification (CCM preferred). • Preferred: Experience as a telephonic RN case manager managing health plan members. • Preferred: Experience participating in performance improvement or quality improvement projects. • Preferred: Experience working in an NCQA-accredited Case Management program. • Preferred: Ability to navigate multiple simultaneous work demands remotely in an effective and professional manner. • Preferred: Ability to resolve issues independently and demonstrate ability to multi-task. • Preferred: Executive presence, effective communication skills (verbal, written, presentation, interpersonal). • Preferred: Commitment to building team skills and fostering a positive work environment. • Preferred: Knowledge of payor issues, including Trihealth benefits and contract limitations, provider network issues, and case management initiatives. Benefits: • EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. • Opportunity to work closely with highly experienced, world-class Healthcare consultants from day one. • Guidance/ coaching through mentoring program where junior employees are assigned senior advisors. • Opportunities for growth and development within the company and beyond. • The estimated salary range for this role is $90,000 - $110,000 Apply tot his job Apply To this Job