Job Summary

Team Lead, Case Management Integrated Care is responsible to provide support, direction, and assistance to Case Management (CM) 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 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
• Perform any other job duties 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, waiver or Case Management 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 is required
• Certification in Case Management (CMC) is preferred

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

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.

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.