Supervisor Case Manager Long-term Care - Delaware

Case Manager Team Lead

This job manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and to promote effective use of resources for members enrolled in DSHP Plus LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a Case Manager as needed. This is a full time community based position requiring frequent travel within the assigned territory in Delaware.

Essential responsibilities include managing a team of community based Case Managers, promoting quality member outcomes, acting as a role model to staff, ensuring care is medically appropriate, conducting frequent ride-alongs and shadowing of Case Managers, applying clinical knowledge to work with facilities and providers for care-coordination, participating in rounds with the Medical Director, reviewing documentation and processes for consistent practice, initiating and implementing process improvements, assisting Case Managers in finding solutions to challenging situations, identifying and escalating issues appropriately, suggesting new approaches to complex problems, ensuring all staff achieve the minimal qualification of their position through ongoing staff development, ensuring direct reports meet process and documentation in order to be compliant with regulatory agencies, developing and implementing modifications to ensure appropriate distribution of workload, recruiting, selecting, orienting, evaluating, counseling, and developing performance improvement plans, promoting and terminating per corporate policy, adhering to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards, and performing other duties as assigned / requested.

Qualifications include a Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living, or a Master's degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home health, hospice, public health, or assisted living, or a Registered Nurse or Licensed Practical Nurse and 2 years of experience in long-term care, home health, hospice, public health, or assisted living. Substitutions include Registered Nurse or Licensed Practical Nurse and 2 years of experience in long-term care, home health, hospice, public health, or assisted living in lieu of Bachelor's degree. Preferred qualifications include two years of supervisory or managerial experience, Certified Case Manager (CCM), Licensed Bachelors Social Worker (LBSW), Licensed Masters Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), experience working with HIV / AIDS population, experience working with behavioral health population, experience working with developmental disabilities population, two years in home clinical or case management experience, Medicare and Medicaid experience, and managed care experience.

Skills include leadership skills, ability to relate to all levels of management and staff as well as individuals external to the corporation, leadership, collaboration, and motivational skills, ability to multi task and perform in a fast paced, and often intense environment, excellent written and verbal communication skills, ability to analyze data, measure outcomes and develop action plans, team player that possesses strong analytical and organizational skill, the ability to prioritize work demands and meet deadlines, proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook), reliable transportation daily to be able to travel within assigned territory, ability to meet regulatory deadlines, has a dedicated home work space used only for business purposes and is able to comply with all telecommuter policies, experience in geriatric special needs, behavioral health, home health, understanding of the importance of cultural competency in addressing targeted populations, experience with electronic documentation system(s), and experience with cost neutrality and budgeting.