Compensation Range
$80,142.40 - $108,180.80 --
Job Description Summary
This position oversees a Case Management Agency (CMA) team and coordinates all the functions of the Long-Term Care Waivers and State General Funds programs according to contract and program regulations. Responsible for the direct supervision and development of Case Management Agency staff and ensures that performance standards are met as identified statutes, regulations, and contract guidelines.
Work location will primarily be in the Greeley Office; however, may travel to meeting locations throughout the state and attend national conferences.
Reliable, predictable attendance within department business hours of 8 a.m. to 5 p.m. Monday through Friday.
Work may involve time away from a standard office environment. Work may occur in various community settings that are potentially hazardous and may require additional precautions, such as personal protective equipment and/or requesting assistance from emergency medical personnel or law enforcement. After hours and on call work situations may occur on occasion to provide support to families that need services outside of normal business hours. This position is in-person with a possibility for limited telework opportunities when needed.
Ideal candidate traits:
- High level on Integrity and strong belief in Department values
- Ability to structure workload to ensure all tasks are given correct priority
- Open to change
- Ability to resolve conflict and problem solve
Job Description
Supervision - 25%
- Directly supervises the Case Management Agency program staff.
- Provides leadership, guidance and support to staff ensuring a high level of performance and compliance with County, State and Federal rules and regulations.
- Addresses employee concerns and resolve problems in collaboration with Department Personnel and County Human Resources.
- Manages hiring process including candidate review, coordinating interview teams, facilitating interviews, and hiring recommendations.
- Assists in developing educational and professional development opportunities for staff.
- Encourages integrity and excellence in case management, models and expects the case management agency team to be open and flexible to new and different approaches and responsibilities.
- Provides coaching and assistance as needed to case managers to attain and hone required skills and knowledge.
Case Management Oversight - 25%
- Maintains quality assurance levels for all CMA Programs through case audits, client satisfaction surveys, and case consultations to ensure all program and contract requirements are met.
- Reviews documents produced by Case Management Agency staff for accuracy of information and content.
- Shadows case management staff completing the Level of Care Screen and other case management duties in accordance with state requirements and documents accordingly.
- Promotes, supports, and utilizes person centered principles and practices.
- Maintains an accurate client reporting system and submits timely reports as required by contract and regulations and internal monitoring requirements.
- Remains informed of and complied with latest rules, regulations, and legislative issues that may impact the Long-Term Care System.
- Participates in the budgeting process, demonstrating a clear understanding of the funding mechanisms of the Case Management Agency.
Workflow Management - 20%
- Manages all the components of assigned waiver programs and any assigned state general fund programs.
- Assigns and schedules work within the unit using assigned employee's performance and level of skill to assure coverage and efficiency in caseload handling while accomplishing program goals accurately and timely.
- Monitors and evaluates workflow using knowledge of business functions, program requirements and economic conditions to establish unit goals and timetables.
- Uses tracking data to identify trends in customer volume and the need for making changes in work assignments to adjust accordingly.
- Conducts individual and group conferences to set and monitor deadlines.
- Develops systematic methods to monitor work to ensure compliance.
- Ensure completion and submission of all required paperwork related to Medicaid appeals. Represent (or designate) the CMA and HCPF at hearings.
Outreach - 15%
- Serves as an advocate for clients, families, and/or providers during conflict situations and assists with problem solving the best solutions to meet clients' long-term care needs as well as for meeting other needs that may arise.
- Establishes and maintains positive working relationships with community partners and providers, including Program Approved Service Agencies (PASA).
- Attends all appropriate local and state meetings, committees, workshops, and conferences.
- Communicates effectively and works in conjunction with local, state, and federal entities to ensure client access to services.
Professionalism and Teamwork - 10%
- Balances team and individual responsibilities; puts success of team ab