Job Summary:
The Team Lead, 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
Essential Functions:
- 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 virtual meetings as needed 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
Education and Experience:
- 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
- A minimum of three (3) years experience in maternity is preferred
- Previous supervisory experience is preferred
Competencies, Knowledge and Skills:
- Ability to display a customer service, member-focused orientation
- 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
Licensure and Certification:
- Active, unrestricted Registered Nurse (RN) license, Social Work license, or Counselor license is required
- Case Management certification is preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$72,200.00 - $115,500.00
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
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.
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