Case Manager - Supervisor - Consumer Direct Care Network : Job Details

JOB SUMMARY

Service/Program coordinators assist with daily intake and referral processes to set clients up for services, coordinating their in-home care needs in compliance with Federal/State Regulations and Managed Care Organization (MCO) program rules. They maintain and coordinate a caseload of clients enrolled in Medicaid programs and conduct regular check-ins on clients to update care plans if that client s needs change.

JOB DUTIES

• Supervise and maintain a caseload of clients enrolled in Medicaid programs
• Supervise clients in-home care needs in compliance with Federal/State Regulations, Managed Care Organization (MCO) program rules, and contract requirements
• Supervise daily intake and referral processes to ensure positive business growth and development
• Provide leadership and training to other staff
• Promote cohesiveness in the office
• Supervise day-to-day operations and client advocacy
• Collaborate with stakeholders regarding the delivery of services
• Comfortable with public speaking
• Communicate effectively
• Comply with applicable legal requirements, standards, policies, and procedures
• Conduct advanced reporting and oversight activities
• Demonstrate dependability
• Demonstrate effective problem-solving and decision-making skills
• Exhibit computer efficiency
• Handle complex service programs and special projects
• Lead, supervise and complete special projects including, but not limited to: Large-scale enrollments and transitions as needed
• Maintain necessary skills and knowledge to coordinate workflow
• Market services to referral sources
• Participate in professional development and training activities
• Prioritize and multitask effectively
• Provide excellent customer service to internal and external clients
• Represent the company at stakeholder meetings, health fairs, and provider fairs
• Supervise deliverables and ensure timely completion of projects
• Train and oversee employees
• Enroll clients and employees in services, web portal, and EVV systems as needed
• Conduct necessary client assessments and home visits, as necessary
• Handle escalated complaints
• Bilingual preferred in various locations
• Other duties as assigned

QUALIFICATIONS

• Bachelor s degree in the field of Social Work, Psychology, Counseling, Rehabilitation, Nursing, Sociology or Related Field preferred
• 3 years experience working with individuals with disabilities or the elderly preferred
• Combination of education and experience
• Leadership experience preferred
• Ability to work flexible and/or extended hours, if needed, to meet the job requirements.

The incumbent typically works in an office environment and uses a computer, telephone and other office equipment as needed to perform duties. The noise level in the work environment is typical of that of an office. Incumbent may encounter frequent interruptions throughout the workday. The employee is regularly required to sit, talk, or hear; frequently required to use repetitive hand motion, handle or feel, and to stand, walk, reach, bend or lift up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.