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CareSource · 15 hours ago

Team Lead, Community Based Care Management

Mississippi Mobile

Full-time

Hybrid

Mid, Senior Level

$65K/yr - $104K/yr

3+ years exp

CareSource is a non-profit health plan formed by a coalition of Mississippi hospitals and health systems. The Team Lead, Community Based Care Management provides management and support in developing and executing the Care Model while overseeing departmental operations and staff training.

Health CareMedicalNon Profit

Comp. & Benefits

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 as needed (face to face or virtually) to train, lead, and support staff towards the effective administration of CM program

Prepares and utilizes reports to monitor and audit all systems, procedures and the quality of customer services provided. Assist with representing the unit at Departmental and Planning meetings as requested

Ensures staffing policies, procedures and SOPs are standardized and are current to meet business needs

Assists the Managers as needed in the review and development of new projects/processes as requested by the health plans

Oversee appropriate system documentation within defined protocols and guidelines

In support of the Strategic Plan, serve as the technical and content support to align programs/processes

Serve as interdepartmental liaison, collaborating with internal resources in monitoring service levels to meet requirements and analyze for trends

Participate in meetings with internal/external resources to provide information about services and benefits available to members and referral mechanisms

Assist in arranging and coordinating services with community partners to maximize utilization of appropriate community resources and support groups

Participant in development of budget and perform ongoing monitoring of status

Assist with implementation of interventions to maintain and/or improve the quality and efficiency of the operations/services provided

Perform any other job duties as requested

Qualification

Registered Nurse (RN) licenseHealthcare experienceManaged care experienceCase Management certificationData analysis skillsTeam development skillsCommunication skillsMicrosoft Office proficiencyMotivational interviewingConflict resolution skillsTime managementProblem solving skillsCritical thinking skills

Required

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

A minimum of three (3) years of healthcare experience is required

Active, unrestricted Registered Nurse (RN) license, Social Work license, or Counselor license 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 and verified insurance

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

Preferred

A minimum of two (2) years of managed care and/or case management experience is preferred

Previous supervisory experience is preferred

Case Management certification is preferred

Benefits

You may qualify for a bonus tied to company and individual performance.

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.

We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.