Team Lead, Case Management, Integrated Care

CareSource•Mobile, AL

20d

About The Position

Job Summary: The role of the Team Lead, Case Management - Integrated Care is to provide support, direction and assistance to Case Management staff. Essential Functions: Give effective and timely feedback to staff in regard to performance outcomes and progress toward goals Monitor work allocation to maximize output and effectiveness of staff Provide daily oversight of scheduling and attendance of personnel Monitor performance of staff members through ongoing audit process Provide ongoing training, mentoring, coaching and disciplinary action as needed Conduct regularly scheduled one-on-one meetings with personnel Coordinate team-specific orientation and training Manage inbound referrals to CM and appropriately triage them to facilitate CM process Serve as interdepartmental liaison for issues relate to CM/Outreach services Network with other departments to gather and/or share information Must feel comfortable with public speaking and ongoing training of facility staff Assist with development of Case Management/Outreach processes that facilitate cost-effective service utilization and appropriate levels of care Regular travel to conduct member visits, provider visits and community based visits as needed to ensure effective administration of the program Perform any other job related instructions, as requested Education and Experience: Associates Degree in healthcare or equivalent years of relevant work experience is required Bachelor of Science/Arts Degree is preferred Minimum of three (3) years of clinical experience is required Three (3) years of long term care experience is preferred Waiver experience is preferred Managed Care experience is preferred Medicare/Medicaid Experience is preferred One (1) year of management experience is preferred Competencies, Knowledge and Skills: Basic computer skills Proficient in Microsoft Office Communication skills Prior supervisory skills Ability to work independently and within a team environment Attention to detail Familiarity of the healthcare field Critical listening and thinking skills Training/teaching skills Negotiation skills/experience Proper grammar usage Time management skills Proper phone etiquette Customer service oriented Decision making/problem solving skills Leadership skills and experience Licensure and Certification: Current, unrestricted Registered Nurse (RN) license in state of practice or current, unrestricted Licensed Social Worker (LSW) in state of practice is required Certification in Case Management (CMC) is preferred Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: Mobile Worker: This is a mobile position, meaning that regular travel to different work locations is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. A valid driver’s license, car, and insurance are necessary for work related travel Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Flexible hours, including possible evenings and/or weekend as needed to serve the needs of our member and may refer members to other CareSource resources Compensation Range: $70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-JM1 The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.

Requirements

Associates Degree in healthcare or equivalent years of relevant work experience is required
Minimum of three (3) years of clinical experience is required
Three (3) years of long term care experience is preferred
One (1) year of management experience is preferred
Basic computer skills
Proficient in Microsoft Office
Communication skills
Prior supervisory skills
Ability to work independently and within a team environment
Attention to detail
Familiarity of the healthcare field
Critical listening and thinking skills
Training/teaching skills
Negotiation skills/experience
Proper grammar usage
Time management skills
Proper phone etiquette
Customer service oriented
Decision making/problem solving skills
Leadership skills and experience
Current, unrestricted Registered Nurse (RN) license in state of practice or current, unrestricted Licensed Social Worker (LSW) in state of practice is required
Employment in this position is conditional pending successful clearance of a driver’s license record check
Influenza vaccination is a requirement of this position

Nice To Haves

Bachelor of Science/Arts Degree is preferred
Waiver experience is preferred
Managed Care experience is preferred
Medicare/Medicaid Experience is preferred
Certification in Case Management (CMC) is preferred

Responsibilities

Give effective and timely feedback to staff in regard to performance outcomes and progress toward goals
Monitor work allocation to maximize output and effectiveness of staff
Provide daily oversight of scheduling and attendance of personnel
Monitor performance of staff members through ongoing audit process
Provide ongoing training, mentoring, coaching and disciplinary action as needed
Conduct regularly scheduled one-on-one meetings with personnel
Coordinate team-specific orientation and training
Manage inbound referrals to CM and appropriately triage them to facilitate CM process
Serve as interdepartmental liaison for issues relate to CM/Outreach services
Network with other departments to gather and/or share information
Must feel comfortable with public speaking and ongoing training of facility staff
Assist with development of Case Management/Outreach processes that facilitate cost-effective service utilization and appropriate levels of care
Regular travel to conduct member visits, provider visits and community based visits as needed to ensure effective administration of the program
Perform any other job related instructions, as requested