Team Lead, Community Based Care Management - R13188-11

HAP CareSource is a joint venture between Health Alliance Plan (HAP), a Michigan-based health plan providing coverage to individuals and companies of all sizes, and CareSource, a nationally recognized managed care organization with over 2 million members. The joint venture extends the mission-based legacies of two trusted, midwestern nonprofit organizations, offering comprehensive health coverage, access to physicians, and quality care with compassion.

About the role

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.

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 (face-to-face or virtually) to train, lead, and support staff toward the effective administration of the Care Management program
• Prepares and utilizes reports to monitor and audit systems, procedures, and the quality of customer services provided
• Assists with representing the unit at departmental and planning meetings as requested
• Ensures staffing policies, procedures, and SOPs are standardized and current to meet business needs
• Assists managers in the review and development of new projects/processes as requested by health plans
• Oversees appropriate system documentation within defined protocols and guidelines
• Serves as technical and content support to align programs/processes in support of the Strategic Plan
• Acts as an interdepartmental liaison, collaborating with internal resources to monitor service levels, meet requirements, and analyze trends
• Participates in meetings with internal/external resources to provide information about services and benefits available to members and referral mechanisms
• Assists in arranging and coordinating services with community partners to maximize utilization of appropriate community resources and support groups
• Participates in budget development and performs ongoing monitoring of status
• Assists with implementation of interventions to maintain and/or improve the quality and efficiency of operations/services
• Performs other job duties as requested

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
• Minimum of three (3) years of healthcare experience
• Minimum of two (2) years of managed care and/or case management experience (preferred)
• Previous supervisory experience (preferred)
• Active, unrestricted Registered Nurse (RN) license, Social Work license, or Counselor license
• Case Management certification (preferred)
• Valid driver’s license, vehicle, and verifiable insurance; employment conditional on successful clearance of a driver’s license record check and verified insurance
• Annual Influenza vaccination required as a condition of continued employment (October 1 – March 31)

Skills

• Customer service and member-focused orientation
• Ability to travel as required by business needs
• Strong data analysis and trending skills
• Team and staff development skills
• Collaboration and conflict resolution
• Ability to develop, prioritize, and accomplish goals; strong time management
• Strong decision-making and problem-solving skills
• Exceptional communication skills (written and verbal) with the ability to present information in various formats
• Effective listening and critical thinking
• Ability to teach best practices, engagement strategies, and motivational interviewing techniques
• Knowledge of state and federal healthcare regulations
• Ability to work in a fast-paced environment
• Ability to work independently and within a team
• Advanced knowledge of Microsoft Word, Excel, PowerPoint, and Visio
• Proficiency with smartphones, tablets, or other mobile communication devices

Working Conditions

• Mobile position requiring regular travel to different work locations, including homes, offices, or other public settings
• May be exposed to weather conditions typical of the location
• Must reside in the same territory assigned to work in; exceptions may be considered due to business need
• May require travel greater than 50% of the time
• Use of general office equipment, such as telephone, photocopier, fax machine, and personal computer

Pay

Compensation range: $72,200.00 - $115,500.00. Salary is determined by a combination of education, training, experience, scope and complexity of the role, discretion and latitude required, and external/internal data. In addition to base compensation, eligibility for a bonus tied to company and individual performance may apply.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on employee well-being.