Care Management Utilization Supervisor (Wisconsin Work From Home Flexible)

Description:

Culture Highlights!

• Hiring anywhere in Wisconsin statewide only.
• Flexible work environment – work from where it's most convenient, home or office.
• Flexible work model – flex your time to blend work and life to fit various lifestyles/needs.
• Monday through Friday schedule.
• 9 paid holidays, and 3 additional floating holidays (pro-rate applies).
• Volunteer in your community – 24 hours awarded annually.
• Professional Growth – internal and external learning and development opportunities.
• Robust Total Rewards – Medical/Dental/Vision, Telehealth, Flex Spending, 401k Matching, Life insurance, LT/ST Disability, EAP, & Mileage Reimbursement.

Position Summary:

Under the general supervision of the Specialty Supports Manager, the Care Management Utilization Supervisor position will provide global support to Care Management (CM) Leadership in the form of consultation and training around the utilization of appropriate member supports to promote achievement of outcomes for Lakeland Care's membership, specifically focused on the care planning and support needs for members with complex needs. The Utilization Supervisor will participate in all Utilization Management Committee meetings and relevant activities. This support will utilize organizational data, analyze utilization trends, and support Care Management practice teaching, training, and growing CM Supervisors’ knowledge base and ability to provide direct support to IDT staff in appropriate utilization of member specific supports and services.

Responsibilities & Competencies:

• Provide day to day leadership and consultation with Lakeland Care’s Utilization positions to ensure the development of strong practice supports to inter-disciplinary staff and CM leaders.
• Serve as a resource and collaborates through consultation with CM Supervisors to support comprehensive, outcome-based care planning for members with complex care planning needs, such as mental health support needs, behavioral health support needs, other challenging social or health determinants, etc.
• Works in partnership with others to develop and maintain cost-effective service authorization practices, implement quality improvement initiatives, conduct utilization review, and review the effectiveness of service coordination policies and procedures to ensure effective delivery of the Family Care benefit.
• Routinely interface with other internal Divisions to support collaborative provider growth and development to ensure fiscal sustainability and appropriateness of service utilization.
• Uphold the guiding principles of the organization, lead by example, and hold each other and all staff accountable. Ensure direct reports also lead by example and are supportive to the various departments and most importantly the membership.
• Gather and evaluate information that leads to sound, smart decisions.
• Identify obstacles and address problems cooperatively as they occur.
• Exhibit maturity, resiliency and sound judgement when dealing with organizational challenges.
• Respond constructively to emotional situations, high pressure, and conflict.
• Ensure adherence to DHS contract requirements through internal policy, procedure and best practice development and implementation.

Are you excited about this role but not sure if your work experiences align to the role or qualifications? We encourage you to apply anyway. At Lakeland Care, our values drive how we do our work and how we hire. We strive to build an inclusive, authentic workforce that embraces diversity and differences in strengths. So be sure to highlight your skill set and competencies you’re confident in! You may be the right candidate in disguise and/or for other roles.

Requirements:

• Bachelor’s degree or higher in a Health or Human Services related field, or equivalent combination of formal education and experience (includes knowledge, skills, and abilities).
• Minimum of three (3) year’s professional experience in a long-term care organization or community-based setting required; work experience with one or more of the target groups served by Family Care preferred.
• Knowledge of community based long term care and service delivery for the elderly, physically and intellectually/developmentally disabled adults is preferred.
• Strong data analysis and application skills.
• Strong evaluation, assessment, and interview skills.
• Strong oral and written communication skills.
• Working knowledge of basic computer programs and typing skills.
• Current driver’s license, acceptable driving record and proof of adequate insurance required.

Acknowledgement:

This position description describes the general nature and level of work performed by the individual assigned to this position and should not be interpreted as all inclusive. It does not state or imply these are the only duties and responsibilities assigned to the position. The employee may be required to perform other job-related duties. All requirements are subject to change and to possible modification to reasonably accommodate individuals with a disability.

This position description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the position change.

APPLICATION DEADLINE DATE: Accepting through 2/6/2023.

For questions on this role, please reach out to the Talent Acquisition Specialist Becky Vang at becky.vang@lakelandcareinc.com.

**COMPENSATION CAN BE DISCUSSED WITH HUMAN RESOURCES.**

---------------------------------------------------------------------------------------------------

Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), Lakeland Care provides long-term care services and supports to eligible frail elders and individuals with physical and intellectual or developmental disabilities to achieve their daily and lifelong goals through Wisconsin’s Family Care program. Currently we serve in 22 counties and have 11 offices in the Central to North East region of Wisconsin.

Our Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Our Vision

To create a world we all want to live in.

Our Core Values

Kindness – We believe kindness is always possible and that no compassionate act is ever wasted.

Inclusion – We believe that open hearts and open minds are the only path to a brighter future.

Trust – We believe that honesty is still in style and that promises still have power.

We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.