Medicaid Waiver Team Lead

SUMMARY DESCRIPTION:

Responsible for supervising a team of Case Managers, Personal Choices Counselors, or Initial Assessment Case Managers and overseeing the implementation of the Medicaid Waiver Home and Community based Services Program within the SARPC area following specific requirements as set out in Medicaid Waiver guidelines.

SUPERVISORY CONTROLS:

Receives general supervision from the Assistant Medicaid Waiver Coordinator. Supervisor sets the overall objectives and employee and supervisor, in consultation, develop the deadlines, projects, and work to be done; employee is responsible for planning and carrying out the assignment; and work is reviewed only from an overall standpoint.

RESPONSIBILITIES AND DUTIES:

1. Supervise a team of Case Managers, Personal Choices Counselors, or Initial Assessment Case Managers working in the region and ensure that they carry out responsibilities and duties following specific requirements as set by Medicaid Waiver Guidelines. Verify completion of team members tasks, review reporting weekly, and provide feedback to the Assistant Medicaid Waiver Administrator.

2. Ensure compliance with policies and procedures. Ensure completion of Person Centered Care Plan’s in a timely manner. Ensure quality file maintenance; conduct spot checks of team members files regularly; check redetermination/reinstatement/readmission/initial assessment paperwork submitted by team members monthly and verify completion. Verify completion of monthly home visits and all other tasks assigned requested by the Assistant Medicaid Wavier Administrator to ensure proper management of the team.

3. Review quality performance assessments, verifying completion of assessments and corrections as assessments are submitted; train and advise team members on how to make corrections; communicate with team members when corrections are made or further corrections are needed; maintain tracking spreadsheet.

4. Communicate with team members through weekly team huddles, bi-weekly meetings. Address personnel issues as they arise, complete and conducts performance appraisals. Provide training and guidance to the team members as needed.

5. Assists with conducting and preparing on-site assessments on potential clients in order to enroll them in the Medicaid Waiver program. Submit completed forms to the appropriate state agency and follow up on status of the same in order to fill the number of slots allowed by the Alabama Medicaid Agency in a timely manner.

6. Assists team members with tasks. May be require to complete team members tasks in the event of team members absence or understaffing.

7. Compose and maintain the following reports as necessary: HCBS Program Case Management Activity Record and Case Managers Daily Time Logs.

8. Exchange information with Medicaid Waiver staff through written and verbal communication in order to assign work and follow up on tasks.

9. Perform administrative functions as directed by the Assistant Medicaid Administrator.

10. Other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

1. Knowledge of social work programs and processes preferred.

2. Knowledge of community resources and support network available to clientele served.

3. Excellent communication skills, both orally and written.

4. Excellent organizational and time management skills.

5. Ability to relate to the elderly and their unique problems.

6. Knowledge of patient rights under the Health Insurance Portability and Accountability Act (HIPAA).

7. Knowledge and ability to operate office equipment including telephone, copy machine, fax machine, computer, and calculator. Proficiency in Microsoft Office Suite, including Excel and Word.

8. Knowledge and ability to do basic arithmetic. Experience with budgeting preferred.

9. Ability to read and interpret guidelines and regulations and apply them to the job.

10. Bachelor’s Degree from an accredited four-year college or university in Social Work; must hold a valid license issued by the Alabama State Board of Social Work Examiners; or a Bachelor’s Degree in Behavioral Science, Psychology, or Geriatric Studies with a minimum of three (3) years of work experience in home health or aging programs, with at least one (1) year of experience in a supervisory role. or a related field with a minimum of two (2) years of related work experience.

11. A valid driver’s license and a good driving record.

WORK CONDITIONS:

The work is sedentary. Typically, the employee may sit comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items such as papers, books, small parts; driving an automobile, etc. No special physical demands are required to perform the work.

When covering for team members, the work may require some physical exertion such as long periods of standing; walking over rough, uneven, or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities; recurring lifting of moderately heavy items such as record boxes.

This position requires driving on a regular basis.

SUPERVISORY RESPONSIBILITIES:

This is a supervisory position and oversees the following:

• Medicaid Waiver Case Managers, Personal Choices Counselors, or Initial Assessment Case Managers

Job Type: Full-time

Pay: $55,350.00 - $73,800.00 per year

Benefits:

• AD&D insurance
• Dental insurance
• Health insurance
• Life insurance
• Loan forgiveness
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $55,350 - $73,800