Team Lead, Community Based Care Management

CareSource•Mobile, AL

42d•$64,980 - $103,950

About The Position

TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi. Job Summary: The Team Lead, Community Based Care Management provides front line management and support to departmental leadership in the development and execution of the Care Model in alignment with corporate goals

Requirements

Completion of an accredited registered nursing (RN) degree program, Bachelor’s Degree in Social Work, or Master's degree as relevant to licensure eligibility is required
A minimum of three (3) years of healthcare experience is required
A minimum of two (2) years of managed care and/or case management experience is preferred
Previous supervisory experience is preferred
Ability to display a customer service, member-focused orientation
Ability to travel as required by the needs of the business
Strong data analysis and trending skills
Strong team and staff development skills
Strong collaboration and conflict resolution skill sets
Ability to develop, prioritize and accomplish goals/time management
Strong decision making and problem solving skills
Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats
Effective listening and critical thinking skills
Strong ability to teach best practice, engagement strategies for successful member participation (including motivational interviewing, best practice engagement techniques)
Knowledge of state and federal healthcare regulations and environment
Ability to work in a fast-past environment
Ability to work independently and within a team environment
Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio
Ability to operate smart phone, iPad or other mobile communication devices
Active, unrestricted Registered Nurse (RN) license, Social Work license, or Counselor license is required
Must have valid driver’s license, vehicle and verifiable insurance.
Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance.
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.

Nice To Haves

Case Management certification is preferred

Responsibilities

Functions as a “hands-on” supervisor, assisting in day-to-day operations and supervision of staff with adherence to departmental expectations
Responsible for recruiting, hiring, onboarding, training and ongoing support of the departmental team
Conducts meetings as needed (face to face or virtually) to train, lead, and support staff towards the effective administration of CM program
Prepares and utilizes reports to monitor and audit all systems, procedures and the quality of customer services provided.
Assist with representing the unit at Departmental and Planning meetings as requested
Ensures staffing policies, procedures and SOPs are standardized and are current to meet business needs
Assists the Managers as needed in the review and development of new projects/processes as requested by the health plans
Oversee appropriate system documentation within defined protocols and guidelines
In support of the Strategic Plan, serve as the technical and content support to align programs/processes
Serve as interdepartmental liaison, collaborating with internal resources in monitoring service levels to meet requirements and analyze for trends
Participate in meetings with internal/external resources to provide information about services and benefits available to members and referral mechanisms
Assist in arranging and coordinating services with community partners to maximize utilization of appropriate community resources and support groups
Participant in development of budget and perform ongoing monitoring of status
Assist with implementation of interventions to maintain and/or improve the quality and efficiency of the operations/services provided
Perform any other job duties as requested