Care Manager Team Lead - MyCare Ohio, CareSource

WESTERN RESERVE AREA AGENCY ON AGING • Cleveland, OH

37d • $79,706 - $79,706 • Hybrid

About The Position

The Care Manager Team Lead is responsible for coordinating and monitoring care for individuals with disabilities and older adults, supporting care managers, and ensuring quality service delivery. This role includes training staff, collaborating with internal and external agencies, assessing care needs, and advocating for members' access to appropriate programs. Strong clinical judgment, communication skills, and the ability to travel within the service area are essential to success in this position.

Requirements

• Current licensure as a Social Worker by the State of Ohio Counselor and Social Work Board, or as a Registered Nurse with the Ohio Board of Nursing.
• At least five years of experience working with individuals with physical or behavioral disabilities in a home health care, medical social work, or behavioral health environment is required.
• Excellent verbal/written interviewing and assessment skills.
• Basic knowledge of major chronic disabling illnesses, disease processes, and normal aging.
• Ability to effectively communicate with the disabled and elderly populations and general public, both in person and by phone.
• Ability to communicate in a collaborative, effective manner with others and to maintain good working relationships.
• Ability to comprehend written material related to essential job functions and basic medical terminology.
• Knowledge of local resources for older adults and persons with disabilities.
• Ability to comprehend, recall, and apply facts related to essential job functions.
• Analyze, evaluate, and implement a reasonable course of action based on available information.
• Ability to detect specific odors related to the assessment of a client’s health/hygiene and the safety of the client’s environment.
• Ability to travel in a multi-county service area and access private homes and facilities which may not be readily accessible.
• Must have a car available during working hours, as well as the ability to legally drive a car.
• Must have basic computer skills, including Microsoft Office applications while maintaining minimum proficiency in all requisite computer applications and software.
• Ability to use and transport a laptop computer with case, therefore must be able to lift/carry a minimum of 100 pounds.

Nice To Haves

• Some supervisory experience preferred.

Responsibilities

• Works in conjunction with the Program Supervisor on training and team development.
• Provide education and support to Care Source Care managers, members and their caregivers.
• Preceptor to new staff; primary train the trainer with computerized program platforms etc.
• Conducts phone call and in-person contacts with clients in accordance with program specifications to monitor the delivery of all services in the client’s service plan as needed.
• Respond to urgent/emergent needs for a case management visit if the assigned case manager is not available.
• Authorizes changes in amount, scope, and duration of waiver services.
• Carries a small caseload.
• Collaborate with the Departments of Job and Family Service to establish and/or maintain Medicaid eligibility.
• Assist Navigators with issues related to Medicaid, transportation and service planning.
• Work with internal and external entities to resolve issues related to member program assignment.
• Assist in transitioning dual eligible members into the Integrated Care Delivery System aka MyCare Ohio as appropriate
• Evaluate assessment and care management data to determine ongoing program eligibility, care needs, and service options.
• Monitor and evaluate the individualized care plan, service quality and program eligibility.
• Advocate on behalf of consumer and/or caregiver/family and assist individuals in securing appropriate services and care settings in collaboration with providers of service(s).
• Assign new members to staff as needed.
• Liaison to managed care program and Ohio Department of Job and Family Services.
• Supports the AAA mission, vision and strategic plan, goals and management decisions.
• Utilize clinical judgment and perform clinical practice based upon education and applicable professional standards and work in conjunction with other team leaders.
• Abide by the professional code of ethics established by licensure.
• As required by Ohio Law report abuse, neglect, or exploitation of older adults as a mandated reporter.
• Assist with and completes special projects and activities as assigned and communicate with management issues/concerns/suggestions to improve processes.
• Meet time frames for timely and accurate completion of documentation and maintain member’s confidentiality according to agency policy.
• This position's primary duty is to perform work directly related to the successful operation of the Agency. Accordingly, the employee must exercise discretion and independent judgment with respect to matters of significance.
• All staff have the responsibility and authority to propose ways to improve quality and to fully participate in quality improvement efforts.
• Perform other duties as assigned by supervisor as needed to meet agency goals.

Benefits

• A generous six-week PTO program
• thirteen paid holidays
• A $750.00 investment in professional development through a substantial, annual training funds allotment
• A 401K program with company match
• Paid parking in a covered parking garage
• Medical, Dental, Vision Benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree