Team Lead, Case Management - Integrated Care - MyCare Institutional - Toledo Area

Job Summary:

The role of the Team Lead, Case Management Michigan is to provide support, direction, and assistance to Case Management staff

Essential Functions:

• Give effective and timely feedback to staff regarding 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 assignments to CM and appropriately triage them to facilitate CM process
• Serve as  liaison for issues related to CM/Outreach services
• Network with other departments to gather and/or share information
• Must feel comfortable with public speaking and ongoing training of Care Management staff
• Assist with development of Case Management/Outreach processes that facilitate cost-effective service utilization and appropriate levels of care
• Regular oversight of community-based contacts and visits schedule to ensure effective administration of the program
• Perform any other job-related instructions, as requested

Education and Experience:

• Associate’s 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 (CCM) 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:

General office environment; may be required to sit or stand for extended periods of time

Ability to travel as required by the needs of the business

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.