Supervisor, Care Management- Ohio

Job Description

Job Summary reputed company Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients reputed company toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities Oversees an integrated Care Management team responsible for case management, community connectors, health management, and/or transition of care activities to assist reputed company members with their healthcare needs. Care Management staff work to help members reputed company optimal clinical, financial and quality of life outcomes, including safely and effectively transitioning Molina members from acute or inpatient care to reputed company levels of care and/or home in a cost-efficient manner.

• Functions as a hands-on supervisor, providing direction and guidance to the care management team to ensure implementation of activities that align with the model of care and that meet regulatory requirements.
• Manages staff caseloads and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields).
• Oversees the staff use of the electronic case management documentation system in compliance with standard Molina processes, standard documentation styles, and HIPAA. Arranges training as needed.
• Manages, coaches and evaluates the performance of team members; provides employee development and recognition; and assists with selection, orientation and mentoring of new staff.
• Promotes multidisciplinary collaboration, provider reputed company, and engagement of family and caregivers to enhance the continuity of care for Molina members. Oversees and/or participates in Interdisciplinary Care Team meetings.
• Works with the Manager to ensure adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and performance indicators.
• Audits case management assessments and care plan development for completeness and timeliness according to state requirements.
• Monitors onsite hospital discharge visits and post-discharge visits to assure continuity of care and prevent unnecessary readmissions.
• May monitor the completeness of the Transition of Care (ToC) assessment and the timeframes for contact are per ToC protocols.

Job Qualifications Required Education

• Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
• OR Bachelor's or master’s degree in gerontology, public health, or social work with reputed company case management experience.

Required Experience 3 or more years in case management, disease management, managed care or medical or behavioral health settings. Required License, Certification, Association If licensed, license must be active, unrestricted and in good standing. Preferred Education Bachelor's or master’s degree in Nursing, Preferred Experience More than five years Case Management experience. Medicaid/Medicare Population experience with increasing responsibility. Preferred License, Certification, Association Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $66,456 - $129,590 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

Apply tot his job Apply To this Job