Team Lead, Community Based Care Management - R13188-7

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. HAP CareSource provides more Michiganders access to award-winning products, services, and an expanded provider network, including services to Medicaid-eligible individuals in the Lower Peninsula.

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 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
• Minimum of three (3) years of healthcare experience
• 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

• Customer service and member-focused orientation
• Ability to travel as required by business needs
• Strong data analysis and trending skills
• Strong 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 skills
• Ability to teach best practices, engagement strategies, and motivational interviewing 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
• 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 telephone, photocopier, fax machine, and personal computer

Pay

Compensation Range: $72,200.00 - $115,500.00. CareSource takes into consideration a candidate’s education, training, and experience, as well as the position’s scope and complexity, discretion, and latitude required for the role when establishing salary. 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 every employee’s total well-being.