Share this Job

Current Employee? Click here to apply.

Senior Care Manager

Date Posted:  Sep 11, 2022
Requisition ID:  381601
Location: 

Indianapolis, IN, US, 46204

 

Work for Indiana

Grow your career with the State of Indiana! With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging projects across a broad scope of career opportunities. As a State of Indiana employee, you impact the well-being of Indiana’s communities every day.

 

At the State of Indiana, we don’t just talk about diversity and inclusion – Our goal is to create a welcoming, accessible, and equitable workplace, with a workforce that is representative of the State of Indiana population. As a proud equal opportunity employer, reasonable accommodations may be available to enable individuals with disabilities to interview and to perform the essential functions of a role.

 

About the Family & Social Services Administration: 

The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 13 percent of the state's budget to ensure vital health care coverage to approximately 1 in 5 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission. 

 

Salary: Salary may be commensurate on education and experience.

 

Next Level benefits at the State of Indiana are here! Be sure to review our expanded benefit package offerings below.

About the Job:

The Senior Care Manager will perform direct care management services to members within the Fee For Service Medicaid population, while collaborating with Managed Care Entity (MCE) staff to ensure all members have appropriate access to and coordination of high-quality care and services. 

A Day in the Life:

​The essential functions of this role are as follows: 

•    Position exists to ensure Indiana Medicaid members achieve positive health outcomes through the access to and coordination of high-quality care and services to meet their needs. 
•    Ensures members with complex illnesses, recovering from a traumatic clinical event, or managing multiple clinical co-morbidities have access to care and services appropriate to their health needs. 
•    Provides service to members and providers in a culturally competent manner to ensure health equity.
•    Conducts member clinical and social assessments to identify individual needs and then creates a specific care management plan to address objectives and goals as identified during assessment.  
•    Implements care planning by facilitating authorizations/referrals as appropriate 
•    Coordinates internal State and external resources to meet identified needs.
•    Monitors and evaluates effectiveness of the care plan and modifies as necessary to improve outcomes. 
•    Interfaces with Medical Directors on the development of care management treatment plans as necessary.  
•    Manages a robust case load with regular video, telephonic and email communication to members.
•    Evaluates data to report on interventions and outcomes.
•    Manages, in conjunction with other clinical operations staff, care management issues to resolution.
•    Works with providers to understand care management plans of members. 
•    Represents the agency and Division to external organizations, including but not limited to, advisory committees, MCEs, provider associations and members in a manner that maintains the integrity and enhances the reputation of Indiana Health Coverage Programs.  
•    Provides expertise to assist with policy development and implementation, ensuring proper review and incorporation of State and Federal law.
•    Performs responsibilities in a culturally competent manner to support health equity and positive outcomes.
•    Works and coordinates with other OMPP sections to ensure integrity and fidelity to agency mission and vision.
•    Performs other duties, as assigned, in support of the division and agency mission and goals.

​The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time. 

What You'll Need for Success:

This person must have the following requirements to be considered for employment: 

  • Bachelor’s degree in nursing, public administration, public policy, public health or related program that provides the skills needed to assess appropriate care needs of members.
  • Current unrestricted RN license or Licensed Clinical Social Worker (LCSW) from the State of Indiana
  • A minimum of two (2) years of experience in healthcare and care management; managed care experience strongly preferred.
  • A minimum of two (2) years of experience in long-term care, services and supports.
  • Ability to learn complex managed care programs and utilize expertise in the formation of programmatic monitoring and evaluation.
  • Mastery knowledge in program subject matter obtained through experience and/or education.  
  • Broad knowledge of provider agencies and their programs and services. 
  • Broad knowledge of all source materials and references including federal and state laws governing the programs. 
  • Ability to adapt new statues and guidelines to create and implement new principles and policies and discern any far-reaching implications 
  • Ability to present and represent the agency to both internal and external customers, the public, government officials, and other stakeholders. 
  • Analyzing information and evaluating results to choose the best solution and solve problems. 
  • Ability to work effectively with a wide variety of stakeholders. 
  • Ability to analyze and prepare monthly finance and accounting reports to maintain program budget and grants. 
  • Ability to delegate work, set clear direction, and manage workflow. 
  • Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skillsets. 

Supervisory Responsibilities/Direct Reports:

This role may serve as a team lead for an assigned work group.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes: 

  • Three (3) medical plan options (including RX coverage) as well as vision and dental plans
  • Wellness program (offers premium discount for the medical plan and gift cards)
  • Health savings account, which includes bi-weekly state contribution
  • Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities
  • Deferred compensation 457B account (similar to 401k plan) with employer match
  • Two (2) fully-funded pension plan options
  • A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
    • 150 hours of paid new parent leave
    • Up to 15 hours of paid community service leave
  • Combined 180 hours of paid vacation, personal, and sick leave time off
  • 12 paid holidays, 14 on election years
  • Education Reimbursement Program
  • Group life insurance
  • Referral Bonus program
  • Employee assistance program that allows for covered behavioral health visits
  • Qualified employer for the Public Service Loan Forgiveness Program
  • Free Parking for most positions
  • Free LinkedIn Learning access

     

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer.

 

Current Employee? Click here to apply.


Nearest Major Market: Indianapolis