Supervisor – Care Management – Ltss

Supervisor – Care Management – Ltss

Requirements

• Requires a Bachelor’s degree and 4+ years of related experience.
• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Responsibilities

• Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery.
• Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements.
• Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs.
• Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns.
• Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers.
• Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones.
• Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care.
• Assists with onboarding, hiring, and training long-term care management team members.
• Leads and champions change within scope of responsibility.
• Performs other duties as assigned.
• Complies with all policies and standards.

Preferred Qualifications

No preferred qualifications provided.