Team Lead, Integrated Care Coordination - Waiver-Must live in Ohio

CareSource; Montgomery (AL); On-site; USD 72,000 - 116,000; Full time

Job summary

CareSource is seeking a Team Lead for Integrated Care Coordination - Waiver to oversee daily operations of Care Coordinators and manage a reduced caseload of MyCare HCBS Waiver members. You will escalate clinical and operational issues and support achievement of program goals, quality standards, and positive member outcomes.

The role requires leading workflows, ensuring timely assessments and service plans, and coordinating care for high-risk cases with potential for travel to various locations.

Qualifications

• Directs day-to-day operations for Care Coordinators
• Manages a reduced caseload of MyCare HCBS Waiver members
• Escalates clinical and operational issues as needed
• Ensures regulatory compliance and quality outcomes

Responsibilities

• Provide day-to-day oversight and direction to assigned Care Coordinators.
• Monitor workflows and ensure timely completion of assessments, service plans, contacts, authorizations, and outreach.
• Serve as first escalation point for staff questions, barriers, and member concerns.
• Coordinate care for high-risk members and complex transition cases.

Skills

Team leadership

Care coordination

Interpersonal communication

Education

Bachelor's degree in Nursing, Social Work, Human Services or related field

Case Management certification

Job description

Team Lead, Integrated Care Coordination - Waiver, serves as a working leader responsible for both the day-to-day operational support of assigned Care Coordinators and the direct management of a reduced caseload of MyCare HCBS Waiver members. The Team Lead serves as the first point of escalation for clinical and operational issues and supports achievement of program goals, regulatory requirements, quality standards, and member outcomes.

• Provide day-to-day oversight and direction to assigned Care Coordinators.
• Monitor daily operational workflows and ensure timely completion of assessments, service plans, contacts, authorizations, and member outreach activities.
• Serve as the first level escalation point for staff questions, barriers, member concerns, and operational issues.
…
• Serve as the primary coordinator or consultant for High-risk members, Members with repeated incidents, Complex transition cases, Members requiring multidisciplinary intervention, Members experiencing service gaps or Members with significant social determinants of health challenges

• Bachelor's degree in Nursing, Social Work, Human Services, Healthcare Administration or related field preferred
…
• Case Management certification 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. General office environment; Up to 25% (regular) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties

72,200.00 - $115,500.00 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. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Fostering a Collaborative Workplace Culture Cultivate Partnerships Pursue Personal Excellence

We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.