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Job Title: Case Manager

Type: Contract To Hire

Contractor Work Model: Remote

Title: Case Manager

ALTA is supporting a 6-month contract opportunity working 100% remote. Candidates must reside in State of Ohio.

ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.

The Manager, Community Based Care Management provides operational management and oversight for providing CareSource members with the right care at the right place at the right time and assisting them to achieve optimal clinical, financial, and quality of life outcomes.

Essential Functions:

+ Oversee a team of clinical and nonclinical staff to achieve quality service level and production expectations

+ Facilitate/promote problem identification, analysis and resolution to improve member experience, ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Care Model

+ Manages and evaluates team member performance; provides coaching, counseling, employee development, and recognition; ensures ongoing, appropriate staff training; and has responsibility for the selection, orientation and mentoring of new staff

+ Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators

+ Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines

+ Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate, while identifying opportunities for improvement.

+ Utilize available tools / platforms for efficiencies

+ Understand the mission and ensure alignment of compliance-based activity in strategic planning / department goal-setting and regional market support

+ Assist in new market development and implementation of department initiatives

+ Perform any other job duties as requested

Education and Experience:

+ Bachelor’s degree or equivalent years of relevant work experience is required

+ A minimum of five (5) years of managed healthcare experience is required

+ A minimum of two (2) years of supervisory experience is required

+ Managed care experience is preferred

Competencies, Knowledge and Skills:

+ Display a customer service, member-focused orientation

+ Strong team and staff development skills

+ Strong collaboration and conflict resolution skill sets

+ Ability to develop, prioritize and accomplish goals/time management

+ Strong decision making and problem-solving skills

+ Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats to all levels

+ Strong ability to teach best practice, engagement strategies for successful member participation (including motivational interviewing, best practice engagement techniques)

+ Ability to work in a fast-past environment

+ Ability to work independently and within a team environment

+ Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio

Licensure and Certification:

+ Active, unrestricted State Licensed Practical Nurse (LPN), Registered Nurse (RN) license, Social Work license, or Counselor license is preferred

+ Healthcare or Management certification is preferred

+ To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.

System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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Ref: #860-IT Cincinnati

System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.