Long Term Care Manager
Supervises the operations, activities, and personnel of the Options for Long Term Care Unit. Develops and coordinates the plans and organization of the unit and reviews cases to ensure adherence to applicable rules, regulations, policies, and procedures.
The following statements are illustrative of the duties and responsibilities of the job. The organization retains the right to modify or change the duties and responsibilities of the job at any time.
Knowledge, Skills, & Abilities:
- Receives general supervision from a division manager.
- Exercises direct supervision over professional, clerical, and contractual employees.
- Exercise direct, first-level supervision of positions, employees, operations, and activities within the Long Term Care unit; may include coordinating staff training, assigning and reviewing work, participating in the interview and selection process, making recommendations impacting pay, status, and disciplinary action, evaluating performance independently or in conjunction with a higher-level supervisor or manager, and approving time off.
- Perform second level review of Prior Authorization Requests from home health agencies for provision of skilled care, and review accuracy and appropriateness of case manager or registered nurse approvals or denials.
- Plan individual or group conferences, programs, and other administrative work; set goals and objectives for individual staff and the unit.
- Conduct meetings to better educate and inform collateral agencies involved in the cases; ensure appropriate staffing.
- Participate in the development and management of the program budget; review and approve unit expenditures; make recommendations based on changes in trends, programs, and projections.
- Serve as a member of the division's management team; review and resolve internal issues; develop, recommend, and implement policy and procedure for the division consistent with changes or updates in local, state, and federal rules and regulations.
- Assign cases to case managers based on skill and current caseload; oversee the outcomes of the cases.
- Conduct random case reviews as mandated by the state; conduct periodic staff meetings to review cases and counsel staff in managing difficult cases; ensure compliance with local, state, and federal rules and regulations.
- Assure that case managers are appropriately prioritizing work to meet multiple deadlines, while triaging cases and employing appropriate interventions to maintain safety and maximum functioning of elderly or disabled clients.
- Organize and present educational and instructional workshops and materials for clients and community groups.
- Assess Medicaid spending and coordinate with collateral agencies to determine appropriate use of money and eligibility; negotiate services needed for Medicaid clients within specific criteria.
- Participate in various committees and boards related to program activities and responsibilities.
- Perform other duties as appropriate or necessary for performance of the job.
- Scope and application of laws and regulations pertaining to Medicaid/Medicare benefits and services.
- Advanced methods and techniques of casework and case management including: in-depth therapeutic approaches, affecting changes in behavior, and diagnostic assessment.
- Medical terminology, including dynamics of aging, mental illnesses, developmental disabilities, medical diagnoses, and treatment.
- Resources in the community related to long term care.
- Budget management and resource allocation according to governmental standards and procedures.
- Supervisory principles, procedures, and methods including selection, training, discipline, and evaluation.
- Communicate clearly and concisely, both verbally and in writing.
- Read and comprehend department and County rules, regulations, policies, and standard operating procedures.
- Respond to and resolve difficult issues with staff and/or clients, especially in emergencies or unusual situations.
- Supervise and mentor professional and support staff.
- Perform effective public speaking to groups of varied interests and backgrounds.
- Organize material and present information clearly and concisely in verbal and written form.
- Write and review grant proposals.
- Interpret rules, regulations, policy, and procedures.
- Develop and evaluate programs.
- Effectively respond to conflict situations and people in conflict.
- Establish and maintain effective working relationships with other County employees, representatives of other agencies and organizations, and members of the community.
- Five years of progressively responsible experience in social work, case management, or a directly related field, or in the performance of similar duties and responsibilities including lead or supervisory experience.
- Equivalent to a Bachelor's Degree from an accredited college or university with major coursework in Psychology, Sociology, Social Work, or a related Human Behavioral Sciences field. Master's Degree preferred.
- Maintain continuing education hours annually or as required.
- Possession of, or ability to obtain, a valid Colorado Driver's License.