Care Manager Team Leader

Case Management Columbus, Ohio


Job description

Job Summary:

The Team Leader leads the operations of a team by providing administrative oversight concerning direction, strategic planning and supporting the coordination of service delivery for those employees under their supervision.

Essential Functions:

  • Acts as a liaison between The Columbus Organization and CareSource Leadership while also fostering relationships with waiver providers, state agencies, waiver participants and other community agencies to support Ohio Home Care Waiver individuals.
  • Always maintains the confidentiality and integrity of the company, complying with HIPAA, and Columbus Organization/CareSource Policies.
  • Assists in the recruitment and hiring – supervises and mentors assigned Care Manager.
  • Establishes goals, timetables, and conducts monthly supervisions/annual evaluations of goal achievement for each Care Manager. Supports and encourages staff’s goals and objectives through use of various performance tools including the Playbook score card.
  • Assesses monthly performance of their Team. Completes supervision forms on staff monthly for uploading into Ultipro. Recommends and implements training and/or corrective action as necessary.
  • Monitors Team to ensure timely implementation of company policies and procedures.
  • Monitors Team to ensure staff meet all requirements of local, state, and federal regulations and laws relating to the provision of waiver- based services.
  • Conducts regular meetings with Team members with periodic face to face visits to provide supervision, ensure communication, and to monitor delivery of service.
  • Assist with caseload coverage as needed including, but not limited to staff transitions and/or leave of absences.
  • Provides programmatic oversight, plans, coordinates, assigns, reviews and assesses staff’s workflow.
  • Monitors Team’s adherence to contractual deliverables to ensure compliance of service delivery and accuracy of mandated reporting requirements.
  • Participates in program planning, implementation, and coordination to ensure that program goals and current operations are in compliance with the department and Federal/State rules, regulations, policies and procedures.
  • Directs requests for supplies to Director for processing; reviews and verifies Team reimbursement and travel requests to Director for review/approval.
  • Analyzes program evaluations with identified Columbus and CareSource staff to ensure desired outcomes are addressed and conducted.
  • Evaluates and monitors Team’s service delivery and as needed, implements corrective action plans, provide technical assistance regarding program and client issues; determines work priorities and assigns work to ensure proper completion of assignments.
  • Directs the development and implementation of annual program work plans including program goals and measurable outcomes consistent with the company’s strategic plan.
  • Assists with the development of strategic and programmatic plans for their assigned staff as part of office Leadership team. Provides timelines and resources needed to achieve the program goals.
  • Mentors staff, reinforcing a commitment to building, cooperation and collaboration among Team members, individuals and their families, Providers, and state staff.
  • Analyzes Team’s monthly performance and provides direction regarding staff’s productivity and progress, ensuring Team’s service delivery supports billable events and that staff resources are used effectively to promote a high degree of customer satisfaction, efficiency, and quality service. Assists with programmatic oversight regarding PCSPs, reviews and assesses staff’s workflow.
  • Mobilizes staff in the expansion of current contracts by leveraging existing customer and Provider relationships.
  • Assists the Teams efforts to strengthen and build local and national partnerships with outside organizations aimed at fostering the development of collaborative projects.
  • Advances community outreach focusing on Columbus programs and services, increasing the company’s visibility with potential State agencies and programs.
  • Attends industry conferences and performs face to face meetings with key stakeholders to provide information about Columbus’ services and solicit new business.
  • Assists in ensuring that assigned staff are compliant with all accrediting bodies such as CARF and that appropriate quality assurance programs are complied with. Provides input into the development, planning, and strategies, focusing on areas for growth and improvement.
  • Creates an environment that fosters teamwork, cooperation, respect, diversity, and service to customers
  • Complete community outreach per the Team Lead Outreach Plan on an ongoing basis with individuals, families, community stakeholders, and provider agencies to increase the awareness of the benefits of using The Columbus Organization.
  • On-call responsibilities as assigned.

Education and Experience:

         Bachelor’s or Associates degree in a health care field is required

         Current and unrestricted clinical license in the State of Ohio as Registered Nurse (RN) or licensed social worker (LSW, LISW) is required

         One (1) year HCBS paid experience

         Three (3) years or more Medicaid and/or Medicare managed care experience is preferred


Competencies, Knowledge and Skills:

         Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel

         Ability to operate a computer and perform basic Windows functions for entering, updating, and maintaining data

         Elevated level of initiative, self-direction and accountability for actions required

         Performance of principle duties and responsibilities require the ability to travel if needed

         Must have and maintain a valid state driver's license, maintain automobile insurance coverage, and have access to an automobile during working hours

         Ability to define problems, collect data, establish facts, and draw valid conclusions.

         Knowledge of planning principles and report preparation

         Skill in interpreting, policies, and procedures

         Skill in analyzing situations, evaluate information and recommend course of action

         Skill in maintaining effective working relationships with fellow employees and outside agencies 

         Ability to evaluate issues, explain rules and regulations

         Ability to write reports and correspondence

         Ability to effectively present information and respond to questions from groups of managers and associates

         Ability to communicate effectively with a diverse group of individuals

         Ability to multi-task and work independently within a team environment

         Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices

         Adhere to code of ethics that aligns with professional practice

         Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice

         Strong advocate for individuals at all levels of care

         Strong understanding and respect of all cultures and demographic diversity

         Ability to interpret and implement current research findings

         Awareness of community & state support resources

         Critical listening and thinking skills

         Decision making and problem-solving skills

         Strong organizational and time management skills

         Ability to maintain confidentiality

         Ability to use and transport a laptop computer and case, therefore must be able to lift/carry a minimum of 20 pounds

Licensure and Certification:

         Current and unrestricted clinical license in the State of Ohio as Registered Nurse (RN) or licensed social worker (LSW, LISW) is required

         Case Management Certification is highly preferred

         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.  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. 

         Employment in this position is conditional pending successful clearance of a criminal background check.  Results of the criminal background check may necessitate an offer of employment being withdrawn or, if employee has started in position, termination of employment.

         To help protect our employees, individuals, and the communities we serve from acquiring communicable diseases, full COVID-19 and Influenza vaccination is preferred.

         When required by a State Office, Columbus case management employees will be required to be fully vaccinated (two weeks removed from completion of a two-dose mRNA series or two weeks removed from a one dose vaccine) against the COVID-19 virus. Employees are required to disclose and provide proof of their vaccination status as a condition of continued employment. Candidates who accept an offer of employment must upload proof of vaccination prior to their start date.  Failure to meet the vaccination requirement, including providing proof of vaccination prior to the start date, may result in rescission of an employment offer or termination of employment.

         The Columbus Organization/CareSource adheres to all federal, state, and local regulations. The Columbus Organization/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 reviewed by the Columbus HR Department.

Working Conditions:

         This is a mobile position, meaning that regular travel to different work locations, including homes, offices, or other public settings, 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.

         Must 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.

         Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer

         Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members