Job description
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
The Care Management Supervisor is responsible for the community care management program overseeing the services provided by a team of community-based care managers and community health outreach workers. The care managers are responsible for assessing the members’ needs; and facilitating, promoting, and advocating for the member’s on-going self-sufficiency and independence, Additionally, the care managers are responsible for sustaining the natural supports of the member, offers person-centered care planning, service coordination, and support services for members receiving long-term care (LTC) and home and community-based services (HCBS). This includes, but is not limited to, assessing the availability of natural supports, representative or family members to ensure the on-going and physical and behavioral health of those natural supports.
Essential Functions
- Willingness to establish and maintain effective working relationships with others as a team by offering support and/or ideas to enable staff to reach goals.
- Willingness to keep abreast of current procedures and requirements.
- Practices core competencies of a manager including:
- Visionary Leadership - Displays passion and optimism; Inspires respect and trust; Mobilizes others to fulfill the vision; Provides vision and inspiration to peers and subordinates.
- Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results.
- Delegation - Delegates work assignments; Matches the responsibility to the person; Gives authority to work independently; Sets expectations and monitors delegated activities.
- Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others.
- Managing People - Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates' activities; Makes self-available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products, and services.
- Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
- Cost Consciousness - Works within approved budget; Develops and implements cost saving measures; Conserves organizational resources.
- Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Education and Experience
- Master’s degree in a human service, social science or health field and has a minimum of two (2) years’ experience in care management, at least one (1) year of which shall be related to the elderly and disabled populations. Or
- Bachelor’s degree in a human service, social science or health field with a minimum of five (5) years’ experience in care management, at least one (1) year of which shall be related to the elderly and disabled populations; Licensed Practical Nurse, licensed in the state of Florida. Or
- Professional human service, social science or health related experience may be substituted on a year-for-year basis for the educational requirement, (i.e., a high school diploma or equivalent and nine (9) years of experience in a human service, social science, or health field, five (5) years of which shall be related to care management, at least one (1) year of which shall be related to elders and individuals with disabilities).
Required Skills
- Knowledge of AHCA, Florida Medicaid, NCQA, and AAAHC policies and procedures
- Knowledge of Managed care and healthcare industry and practices.
- Proficiency in Windows and Microsoft Office applications.
- Ability to manage multiple priorities.
- Ability to read, analyze and interpret the most complex documents.
- Ability to read, analyze, and interpret state and federal managed care guidelines.
- Ability to respond to common inquiries or complaints from members, physicians, regulatory agencies, or members of the business community.
- Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
- Excellent oral and written communication skills, bilingual preferred.
- Process-oriented with documentation and project management skills.
- Individual must show initiative and motivation and must demonstrate successful interpersonal relationship skills.
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.
#IND-ILS
About Independent Living System
CEO: Nestor Plana
Revenue: $25 to $100 million (USD)
Size: 51 to 200 Employees
Type: Company - Private
Website: www.ilshealthservices.com