Supervisor, Care Management - LTSS

Centene Management Company•Miami, FL

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers. Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care Assists with onboarding, hiring, and training long-term care management team members Leads and champions change within scope of responsibility Performs other duties as assigned. Complies with all policies and standards. We are seeking a Supervisor, Care Management - LTSS to join our team! The ideal candidate will bring expertise in: Must Reside in Miami Dade County. FL Field Work required (50% Travel) Long Term Care 2 + years of Care Management Leadership Excellent Customer Service and Communication Skills

Requirements

Must Reside in Miami Dade County. FL
Field Work required (50% Travel)
Long Term Care
2 + years of Care Management Leadership
Excellent Customer Service and Communication Skills
Requires a Bachelor's degree and 4+ years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Responsibilities

Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery.
Supervises day-to-day escalations and care management issues related to members or providers.
Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs
Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers
Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones
Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care
Assists with onboarding, hiring, and training long-term care management team members
Leads and champions change within scope of responsibility
Performs other duties as assigned.
Complies with all policies and standards.