Supervisor, Restricted Recipient Program; Case Management

Job Category
:
Clinical & Pharmaceutical

Requisition Number
: SUPER
006088

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• Posted:
  July 15, 2026
• Full-Time

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Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We re a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It s our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

This position is accountable for the day to day operational support and strategic activities of the assigned team. This position is also accountable for achieving department objectives and maintaining flexibility to meet business needs. Responsibilities include supervision of the clinical and non-clinical team members, ensuring that the strategic and business processes are established, maintained and communicated, and effective interdepartmental communications are established.

Participate in planning, implementation and evaluation of the restricted recipient program to ensure quality services and compliance with all regulatory and contractual requirements. This position resides in the Health Services department yet interacts regularly with other areas within Medica.

In addition to the coaching and staff development responsibilities, the Restricted Recipient Program Supervisor must also build strong relationships with internal and external partners. More specifically, support the Director or Manager, Case Management in relationship building within Medica and its vendor partners to help prioritize, integrate and coordinate interventions for population segments based on medical, behavioral and social needs.

This role oversees case management projects, initiates and participates in quality improvement activities, and performs data monitoring of utilization activity for reporting to internal customers. Performs other duties as assigned.

Key Accountabilities

Supervise and Maintain Efficient Department Operational Systems/Process

Comply with policy and procedures effectively and with appropriate documentation and ensure team meets all department, regulatory and contractual requirements and goals.

• Informs the Manager/Director of process, procedure, policy and other issues that cannot be resolved within the team.
• Model change management philosophies and support and facilitate a positive approach to change among team members.
• Monitor team members  calls and casework to ensure staff is following department guidelines, processes and turn-around times.
• Manage performance and hold staff accountable for meeting department standards for quality, turn around times, policy application, effectiveness, attendance, and personnel management, etc. Formulate action plan for less than acceptable performance.
• Consult human resources and Manager/Director to ensure compliance with company policies and values.
• Responsible for personnel management including interview process, goals establishment, performance review, and team-building.
• Assist with delivery of new employee orientation programs for team members, and contributes to the development, maintenance and communication of educational programs as indicated.
• Compile and report team and individual statistics for planning and evaluation.
• Assist the Manager/Director to define and utilize performance standard to monitor staff performance.
• Accountable for driving performance toward goals and communicating effectively to peers when process gaps are impeding goals.
• Manage Performance of Restricted Recipient Team
• Leads and supervises the program and team as outlined under the Position Overview section.
• Ensures that the coordinators successfully meet and exceed process-oriented outcomes.
• Assess the training and development needs of each new employee to result in fully competent performance…