SUMMARYOversight of the assigned care management line of business. Ensure staff are providing services in accordance with care management service requirements set by the state and company. Responsible for reviewing all Tailored Care Management care plans and Individual Support Plans (ISPs) and will provide guidance to care managers on how to meet members up to eight Care JOB FUNCTIONSTo perform this job successfully an individual must be able to satisfactorily perform each essential function listed below. Recruit hires trains and supervises the care management staff being responsive and accountable to the needs of staff and enrollee/family/ for direct supervision of case management team as well as coordination accuracy appropriateness and timeliness of workflow and all Care Management Plans and Individuals Service Plans (ISP) to ensure they meet enrollee needs and technical requirements including guidance to care management staff on how to meet enrollees needs through care the care management team in developing relationships and connections that will help enrollees in achieving whole person care systems are in place to secure maintain and retain care management and manages the care management staff being responsive and accountable to the needs of enrollee/family/guardian and other and organizes all Care Manager and Extender schedules to ensure that all services activities and interventions are staffed appropriately to maintain proper coverage and completion of the departments educational updates for care management staff on an ongoing basis including daily with regional supports such as Human Resources Business Quality etc. for support resources and enhancement of the care management line of with all entities in a professional manner to promote an environment of understanding respect and issues of concern general departmental activities and staffing needs to the Executive the care management team conducts activities that lead to billable services and bills services at required intervals leading to a balanced of electronic systems as industry functions to promote positive relationships with coaching reinforcement of positive work behavior in-services and resources to improve clinical skills and communication with staff I/DD enrollee/family/guardian and all entities involved in the resolutions to conflicts employee issues disputes disruptions in services and unprofessional behavior of the care management performance of the care management team quality improvement and measurement activities in conjunction with the Executive Director achieving identified targets and other related duties and activities as RESPONSIBILITIESManages assigned personnel. Completes performance evaluations orientation and training. Makes decisions on employee hires transfers promotions salary changes discipline terminations and similar actions. Resolves employee problems within position Knowledge and Skills required for the JobThe requirements listed below are representative of the knowledge skill and/or abilities required to perform the job. Education and Experience: A bachelors degree in a field related to health psychology sociology social work nursing or another relevant human services area and five years of experience providing care management case management or care coordination to complex individuals with I/DD or TBI; orA masters degree in a field related to health psychology sociology social work (e.g. LCSW) nursing or another relevant human services area and three years of experience providing care management case management or care coordination to complex individuals with an I/DD or a or more years of supervisory experience in healthcare. Ability to supervise and direct the work of to five years experience providing care management case management or care coordination to complex individuals with an I/DD or a TBI depending on Licenses and Registrations:Must meet all agency requirements for pre-employment and those required by stateOther Skills and Abilities:Ability to perform work with a high degree of quality and autonomyOther Requirements:Travel as neededPhysical Requirements:Light work. Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time the job is rated for light work.
Required Experience:
Manager