Team Lead, Community Based Care Management - R13188-4

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 as needed (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 all 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 the 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
• Serves 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 the development of the budget and performs ongoing monitoring of status
• Assists with the implementation of interventions to maintain and/or improve the quality and efficiency of operations/services provided
• Performs any 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
• 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
• Active, unrestricted Registered Nurse (RN) license, Social Work license, or Counselor license is required
• Case Management certification is preferred
• Must have a valid driver’s license, vehicle, and verifiable insurance
• Employment is conditional pending successful clearance of a driver’s license record check and verified insurance
• Influenza vaccination is required annually (October 1 – March 31) as a condition of continued employment

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 formats
• Effective listening and critical thinking skills
• Strong ability to teach best practices, 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-paced environment
• Ability to work independently and within a team environment
• Advanced knowledge of Microsoft Word, Excel, PowerPoint, and Visio
• Ability to operate smartphones, iPads, or other mobile communication devices

Working Conditions

• This is a 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 be required to travel greater than 50% of the time to perform work duties
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer

Pay

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.

Benefits

CareSource offers a substantial and comprehensive total rewards package.