Manager, Care Team -Acting

ABOUT US

Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.

Position Summary

Independent Living Systems is committed to enhancing member’s quality of life through innovative health and support solutions that reduce costs, foster independence, improve compliance, and enhance coordination of care. The Care Team Manager will lead an ILS-CA Care Team dedicated to providing high-quality Care Management services to members in a compassionate, effective, timely and professional manner.

The Care Team Manager will be responsible for the monitoring and compliance of the Care Manager’s work. Other responsibilities include the reporting of Care Manager data, ongoing supervision and support for Care Managers as well as performance improvement.

Essential Functions:

1. Participate in regular case conferences to contribute bring expertise and perspective to the Care Team,
2. Effectively lead the assigned ILS-Care Team that includes Care Managers, Care Assistants (CA), Community Health Specialists and other staff, ensuring that highest quality services are consistently delivered in a timely and professional manner.
3. Provide direct supervision and guidance to Care Team members, supporting them in achieving service objectives, meeting compliance standards and providing excellent customer service.
4. Manage internal and external relationships across the continuum – ILS CMs, ILS CAs, ILS CHSs, ILS Managers, BSP Members, BSP Providers, ICTs, internal ILS-CA Departments, and community- based organizations.
5. Ensure that Care Team Members are proficient and fully utilize technological resources and are engaged in staff development opportunities.
6. Monitor and assess Care Team performance and modify approach, as needed.
7. Ensure that Care Team Members are compliant with ILS, federal and state regulations, as well as the ILS Care Management Model(s) of Care
8. Complete administrative tasks including payroll and member assignments, as well as preparation and submission of accurate monthly/periodic reports in a timely manner.
9. Conduct initial, interim and annual performance reviews in a thorough and timely manner.
10. Provide ongoing monthly supervision to Care Managers
11. Conduct ongoing team meetings with Care Managers to make sure they are familiar with new protocols and have the support they need to continue to function in their current role.
12. Conduct ride alongs and provide feedback on the Care Managers interaction with members.
13. Advocate on behalf of members and heath care professionals
14. Use motivational interviewing and trauma‐informed care practices.
15. Build and maintain working relationships with hospital staff and other community resources.
16. Escalate issues to appropriate leadership staff.
17. Document all services in eCare according to guidelines and workflows
18. Maintain effective and timely communication with Care Team Members, HHP Director and other staff.
19. Assist in developing and making case presentations for quarterly audits.
20. Attending training sessions and conferences.
21. Complete administrative tasks – read/respond to emails, track mileage, maintain ADP, etc.
22. Effectively the ILS-CA technology platforms and digital communications systems
23. Maintain active license or certification.
24. Complete other duties as assigned.

Education and Experience

• Education: BSW, RN, MSW, LCSW or Master’s in Psychology
• Minimum Experience: Five years of health care management experience and experience with Medicare and Medi-Cal populations (preferred).
• Knowledge: Competency utilizing the care management technology platform and the Microsoft Office Platform required. Familiarity with the California managed care environment (preferred)

Required Skills

• Superior clinical skills and perspective
• Proven management skills
• Excellent verbal and written communication skills
• Self-disciplined with excellent analytical and problem-solving skills
• Ability to work well with others, including staff, clients, members, and the public.

EEO STATEMENT

In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.