Team Lead Care Management - Must Reside in Mississippi

Job Summary:

The Team Lead, Care Management provides support to the Manager, Care Management by ensuring adherence to the established Care Model.

Essential Functions:

• Functions as a "hands-on" supervisor, assisting in day to day operations and supervision of staff with adherence to departmental expectations.
• Assist with implementation of interventions to maintain and/or improve the quality and efficiency of the operations/services provided.
• 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.
• Supports the Strategic Plan, serve as the technical and content support to align programs/processes.
• Assists the Managers as needed to develop new projects/processes as requested by the health plans
• Responsible for recruiting, hiring, onboarding, training and ongoing support of the departmental team.
• Utilize available tools / platforms for efficiencies
• Understand the mission and ensure alignment of compliance-based activity in strategic planning / department goal-setting and regional market support
• Monitor for potential risk, escalate to senior leadership as appropriate, and develop corrective action plans as necessary
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or GED is required
• A minimum of two (2) years of managed healthcare experience is required

Competencies, Knowledge and Skills:

• Display a customer service, member-focused orientation
• Strong data analysis and trending skills
• Strong team and staff development skills
• Strong collaboration and conflict resolution skill sets
• Ability to develop, prioritize and accomplish goals/time management
• Strong decision making and problem solving skills
• Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats
• Strong ability to teach best practice, engagement strategies for successful member participation (including motivational interviewing, best practice engagement techniques)
• Executive and Strategic management skills
• Ability to work in a fast-past environment
• Ability to work independently and within a team environment
• Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio

Licensure and Certification:

• Active, unrestricted State Licensed Practical Nurse (LPN), Registered Nurse (RN) license, Social Work license, or Counselor license is preferred
• Healthcare or Management certification is preferred
• 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. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
• CareSource adheres to all federal, state, and local regulations. 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 completed through an interactive review process.

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Ability to travel as required by the needs of the business

Compensation Range:
$63,720.00 - $101,880.00 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.

Compensation Type:
Salary

Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource's national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.