Job Summary:

The role of the Team Lead, Case Management - Integrated Care is to provide support, direction and assistance to Case Management staff.

Essential Functions:

• Give effective and timely feedback to staff in regard to 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
• Regular travel to conduct member visits, provider visits and community based visits as needed to ensure effective administration of the program
• Perform any other job related instructions, 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 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 (CMC) 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:

• Mobile Worker:  This is a mobile position, meaning that regular travel to different work locations is essential.  Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time
• Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
• May be required to travel greater than 50% of time to perform work duties.  A valid driver’s license, car, and insurance are necessary for work related travel
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
• 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

Compensation Range:

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.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

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.