CareSource mission
Team Lead, Integrated Care Coordination - Waiver
Ohio Mobile
Sponsorship not specified$72k-$116kDetected 6 days ago
LeadershipCommunicationProblem SolvingMentoringMicrosoft Office
About the role
- Provide day-to-day oversight and direction to assigned Care Coordinators.
- Monitor daily operational workflows and ensure timely completion of assessments, service plans, contacts, authorizations, and member outreach activities.
- Serve as the first level escalation point for staff questions, barriers, member concerns, and operational issues.
Responsibilities
- Team Lead, Integrated Care Coordination - Waiver, serves as a working leader responsible for both the day-to-day operational support of assigned Care Coordinators and the direct management of a reduced caseload of MyCare HCBS Waiver members.
- The Team Lead serves as the first point of escalation for clinical and operational issues and supports achievement of program goals, regulatory requirements, quality standards, and member outcomes.
- Support implementation of care plans and service plans in accordance with MyCare HCBS Waiver requirements.
- Support continuity of care activities during transitions between settings, providers, programs, and care coordinators.
- Coach, mentor, and develop assigned Care Coordinators, providing real-time feedback and performance coaching.
- Partner with the Manager regarding performance concerns, training opportunities, and professional development needs.
- Partner with providers, Community Partners, delegates, vendors, and internal departments to support member needs.
- Maintain a reduced caseload as assigned.
- Develop Self and Others
- Drive Execution
Requirements
- may be required to sit or stand for extended periods of time
Nice to have
- Three (3) years of care management, care coordination, HCBS Waiver, LTSS, Medicaid, or managed care experience required
- Prior leadership experience is preferred
- Current, unrestricted Registered Nurse (RN) license in state of practice or current, unrestricted Licensed Social Worker (LSW) in state of practice is required
- Must have valid driver's license, vehicle and verifiable insurance.
- 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- If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated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.
- 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.
Skills
- Strong knowledge of MyCare HCBS Waiver and LTSS programs.
- Knowledge of person-centered service planning principles.
- Understanding of Ohio Medicaid, waiver requirements, and managed care operations.
- Strong coaching and mentoring skills.
- Strong organizational and problem-solving abilities.
- Strong written and verbal communication skills.
- Ability to analyze performance and quality data.
- Proficient in Microsoft Office applications.
- Licensure and Certification:
- Case Management certification preferred
Compensation
- $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.
- Compensation Type (hourly/salary):
- Assist with onboarding and training of new staff and support annual competencies and ongoing staff education initiatives.
Benefits
- Assist staff with complex member situations, transition planning, service gaps, provider issues, and member health and welfare concerns.
Company info
- Lead serves as the first point of escalation for clinical and operational issues and supports achievement of program goals, regulatory requirements, quality standards, and member outcomes.
- Essential Functions:
- Facilitate team huddles, case reviews, and workload discussions.
- Assist with caseload balancing and workload distribution.
- Provide consultation regarding HCBS Waiver requirements, service planning, person-centered planning, care coordination, and service delivery.
- Conduct routine documentation audits and quality reviews.
- Monitor compliance with assessment, service planning, and outreach timeframes.
- Identify trends, risks, and compliance concerns and escalate to the Manager.
- Assist in preparation of corrective action activities and quality improvement initiatives.
- Monitor adherence to policies, procedures, workflows, regulatory requirements, and operational expectations.
- Assist with onboarding and training of new staff and support annual competencies and ongoing staff education initiatives.
- Participate in interdisciplinary meetings, operational workgroups, and stakeholder meetings as assigned.
- Serve as a resource regarding HCBS Waiver program requirements and operational processes.
- Serve as the primary coordinator or consultant for High-risk members, Members with repeated incidents, Complex transition cases, Members requiring multidisciplinary intervention, Members experiencing service gaps or Members with significant social determinants of health challenges
- Perform any other job related duties as requested.
- Education and Experience:
- Associates degree in healthcare required
- Bachelor's degree in Nursing, Social Work, Human Services, Healthcare Administration or related field preferred
Equal opportunity
- CareSource is an Equal Opportunity Employer.
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