As Manager of Care Navigation, you will:
• Perform duties to conduct and manage the day-to-day operations of the case management/social work functions, communicating with departmental staff to facilitate daily department functions
• Review and analyze activities, costs, operations, and forecast data to determine progress toward stated goals and statistical/financial purposes
• Promote compliance with federal and state regulations and contractual agreements
• Develop, implement, and maintain compliance with policies and procedures regarding case management
• Oversee compliance with the final rule and the clinical team
• Develop, implement, and maintain case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure
• Facilitate ongoing communication between case management staff, members, contracted providers, and subsidiaries
• Develop staff skills and competencies through training and experience
Qualifications include:
• Bachelor’s degree in Nursing is required, Master’s degree preferred (required for Social Workers)
• Previous experience as a lead in a functional area, managing cross-functional teams on projects, or supervisory experience including hiring, training, assigning work, and managing the performance of staff is preferred
• 4-6 years of PPS/case management experience, and recent nursing experience in a rehabilitation setting
• Active Maryland RN license or Active Maryland LCSW-C license or LCSW with plans to achieve LCSW-C in 1 year
• Case Management Certification (CCM) preferred or matriculating for completion in the next year
• Active American Heart Association Basic Life Support (BLS) certification required
Work Schedule:
Full-Time, Day Shift
#GR8 Nursing
Pay Range:
$83,112.12 - $134,035.20In cases where the range is displayed as a $0 amount or if the position is Per Diem (offering a fixed rate), salary discussions will occur during the screening process.
United States of America (Exempt)At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered!
COVID-19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.