Supervisor, Case Management

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.

Medica's Case Management Supervisor provides operational leadership and strategic direction for an assigned case management team, ensuring effective daily operations and alignment with departmental goals. The role oversees clinical staff, supports integrated, evidence-based care management practices for maternal, pediatric, complex, and behavioral health populations, and collaborates across the organization to improve member outcomes.

The supervisor supports hiring and staff development, quality improvement initiatives, project oversight, monitoring performance and utilization data, and reporting insights to internal stakeholders, while assisting with the implementation of innovative care management models and interventions for high-risk, high-cost populations. The role also partners with internal leadership and stakeholders as well as external vendors to coordinate resources that address members' medical, behavioral, and social needs.

A key responsibility is supporting accreditation and regulatory compliance by integrating accreditation standards into program operations and ensuring appropriate documentation of program plans, outcomes, and performance measures. This role promotes a culture of customer service, collaboration, accountability, and continuous improvement. Success in this role requires strong leadership, relationship management, change facilitation, and a commitment to Medica's core values.

The Case Management Supervisor is responsible for overseeing the daily responsibilities of the team, including recruiting, hiring, and training staff. This role ensures that team members are compliant with internal policies, procedures, and NCQA audit standards through regular audits and performance monitoring. The supervisor manages workloads, monitors staffing ratios, and conducts performance appraisals, while also recognizing and rewarding strong performance. They lead team meetings and collaborate with managers, supervisors, and team leads to coordinate departmental meetings, functions, and responsibilities.

Additionally, the supervisor develops job descriptions and sets performance goals for team members, while providing budgetary consultation to support program operations and ensure they remain within established financial parameters.

A critical component of this role is ensuring that Case Managers are actively engaging members, their provider care teams, and Medica’s care management resources. The goal is to implement care plans and support transitions in care that promote member self-management and clearly define accountability across the member’s support network. Performs other duties as assigned.

• Supervise and Maintain Efficient Department Operational Systems/Process
  • Ensure team compliance with all policies, procedures, and documentation standards, as well as departmental, regulatory, and accreditation requirements.
  • Escalate unresolved issues related to processes, procedures, or policies to the Manager.
  • 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 team performance and hold staff accountable for meeting standards related to quality, timeliness, policy compliance, effectiveness, attendance, and conduct.
  • Develop and implement action plans for staff whose performance does not meet…