JOB SUMMARY

An Advantage Case Manager Supervisor (CMS) assists the Director of Case Management Department and also performs the same duties as an Advantage Case Manager (CM). A CMS is responsible for the day-to-day operations of CMs to ensure that CMs are dutifully monitoring their members, implementing services required for the members’ well-being, and ensuring that their assigned members are receiving the supplies that they need. The roles assumed by the case manager supervisor and within the long-term care services delivery system are services coordinator, member advocate, member consultant and gatekeeper.

DUTIES & RESPONSIBILITIES

Management and supervision of case managers.

Management and supervision of allotted member units and providing Case Managers with continuing education on how to review units in Authenticare and manage their units.

Participation and attendance of MSU trainings and educations and using the information acquired to provide ongoing training to case managers.

Review of and provide feedback of case managers documents submitted to various systems.

DARs, Harmony, Mileage, Time Sheets, etc.

Daily supervisor submissions to MSU via Harmony.

Assignment of members to CMs and updates to member lists on a continuous basis, including removal from lists, address changes etc.

Monitors reports of complaints, escalated issues and critical incident reports and assures all CIR have been sent to CQI.

Reviews with CQI all CM Audits and assists with follow up of implemented Audit corrections as set forth by CQI in POC for case managers.

Fills in as interim CM as needed and during transition and onboarding of new CMs. Assigns new CM’s with senior CM’s for training purposes. Participates in training of new case managers.

Required to carry minimal member case load as discussed with Director of Case Management and able to have increased member case load as needed for short intervals during growth of hiring more CM’s.

Assists Director of Case Management with interviews of potential CM hiree’s as requested by Director of Case Management.

Performs annual performance reviews of case managers and reports these to Director of Case Management. Director of Case Management will perform any compensation rate changes.

As needed and if applicable, performs competency checks for all new hires.

Ensures confidentiality according to all relevant laws and regulations.

Participates in all other job duties as requested and/or assigned by the Director of Case Management Department.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

Must be able to meet the minimum qualifications of a case manager.

Must be reviewed by and approved by MSU.

Have at least one year’s experience working as a case manager.

Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.

Speak fluent English, demonstrate excellent verbal and written communication skills.

Requires general time management skills with an emphasis on communication, collaboration, and interpersonal skills.

Requires computer skills using an office based word processing system, ability to differentiate various software systems and adapt to various technical requirements.

WORKING ENVIRONMENT

Job requires working in hot, cold, or wet surroundings, outdoors, rarely occurrences with or near chemicals, near radiation sources, with hazardous waste materials, wearing protective clothing/equipment, with exposure to blood and body fluids, and operating medical equipment. Local travel is required and must have access to reliable transportation

PHYSICAL REQUIREMENTS

Standing, walking, sitting, twisting, climbing, bending/reaching, driving, weights lifted or carried up to 10 pounds, weights pushed or pulled up to 10 pounds. Finger dexterity for writing & typing.

COMPENSATION

The position is an exempt position.

ACKNOWLEDGEMENT

I have read this job description and fully understand the requirements and notices set forth therein. I hereby accept the position and agree to perform the identified essential functions in a safe manner and in accordance with the Company’s established policies and procedures. I agree to request guidance from my Supervisor in the event that I am unsure of how to interpret any policy.

I further understand that my employment is at-will and thereby understand that my employment may be terminated at-will either by the Company or myself, and that such termination can be made with or without notice.

This position consistently supports and promotes compliance with the Code of Conduct by maintaining the privacy and confidentiality of information, protecting the assets of the agency, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal, State, and local laws and regulations, accreditation and licensure requirements (if applicable), and all policies and procedures.