ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people live well. Since 1974, we’ve supported individuals with intellectual and developmental disabilities to live more independently at home and in their community. With our dedicated team and experienced staff, we provide person-centered services that help people build skills, overcome challenges, and reach their full potential.

SUMMARY

Oversight of the assigned care management line of business. Ensure staff are providing services in accordance with care management service requirements set by the state and company. Responsible for reviewing all Tailored Care Management care plans and Individual Support Plans (ISPs) and will provide guidance to care managers on how to meet members’ needs.

Supervises up to eight Care Managers.

ESSENTIAL JOB FUNCTIONS

To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below.  

• Recruit, hires, trains, and supervises the care management staff, being responsive and accountable to the needs of staff and enrollee/family/guardian.
• Responsible for direct supervision of case management team as well as coordination, accuracy, appropriateness and timeliness of workflow and caseloads.
• Reviews all Care Management Plans and Individuals Service Plans (ISP) to ensure they meet enrollee needs and technical requirements including timeframes.

• Provides guidance to care management staff on how to meet enrollees’ needs through care coordination.

• Support the care management team in developing relationships and connections that will help enrollees in achieving whole person care outcomes.

• Ensures systems are in place to secure, maintain and retain care management records.

• Supervises and manages the care management staff, being responsive and accountable to the needs of enrollee/family/guardian and other stakeholders.
• Creates and organizes all Care Manager and Extender schedules to ensure that all services, activities, and interventions are staffed appropriately to maintain proper coverage and completion of the department's goals.

• Provides educational updates for care management staff on an ongoing basis, including daily huddles.

• Coordinates with regional supports, such as Human Resources, Business, Quality, etc. for support, resources, and enhancement of the care management line of business.
• Communicates with all entities in a professional manner to promote an environment of understanding, respect, and commonality.

• Reports issues of concern, general departmental activities and staffing needs to the Executive Director.

• Ensures the care management team conducts activities that lead to billable services and bills services at required intervals, leading to a balanced budget.

• Utilization of electronic systems as needed.
• Attends industry functions to promote positive relationships with stakeholders.

• Provides coaching, reinforcement of positive work behavior, in-services, and resources to improve clinical skills and communication with staff, I/DD enrollee/family/guardian, and all entities involved in the program.
• Promotes resolutions to conflicts, employee issues, disputes, disruptions in services, and unprofessional behavior of the care management staff.

• Evaluates performance of the care management team members.
• Heads quality improvement and measurement activities in conjunction with the Executive Director, achieving identified targets and outcomes.
• Performs other related duties and activities as required.

SUPERVISORY RESPONSIBILITIES

• Manages assigned personnel. Completes performance evaluations, orientation, and training. Makes decisions on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves employee problems within position responsibilities.

Minimum Knowledge and Skills required for the Job

The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job.

Education and Experience: 

• A bachelor’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area and five years of experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI; or
• A master’s degree in a field related to health, psychology, sociology, social work (e.g., LCSW), nursing, or another relevant human services area, and three years of experience providing care management, case management, or care coordination to complex individuals with an I/DD or a TBI.
• Three or more years of supervisory experience in healthcare. Ability to supervise and direct the work of others.
• Three to five years’ experience providing care management, case management, or care coordination to complex individuals with an I/DD or a TBI, depending on education.

Certificates, Licenses, and Registrations:

• Must meet all agency requirements for pre-employment and those required by state

Other Skills and Abilities:

• Ability to perform work with a high degree of quality and autonomy

Other Requirements:

• Travel as needed

Physical Requirements:

• Light work.  Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.  If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.
 

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.