Team Ldr DSNP Care Mgmt

Pay Range:

$82,100.00 - $123,200.00 

Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

 At BCBSRI, our greatest resource is our people. 

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.

We recognize that to do your best work, you have to be your best self. 
It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.

Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued.

Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. 

We’re dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.

What you’ll do:

• Serve as subject matter expert on DSNP CM team workflows, reports, processes, and procedures. Participate in regular workflow review and update as needed to ensure best practice 
• Provide education, coaching, and feedback to care management staff to foster and maintain a high performing team; ensuring staff are working to their highest potential.  Document informal and formal supervision provided to team. 
• Perform regular and necessary administrative functions such as  Workday approvals, attendance tracking, workload and metric reporting, and ensuring that policies and procedures and the DSNP Model of Care are followed. 
• Conduct call and documentation audits for all assigned staff   per policy. Provide timely and meaningful feedback to supervisees on findings. Report patterns, gaps, and training needs to manager. 
• Lead team huddles, rounds, and collaboration meetings with external providers, including thorough documentation of meeting minutes.   
• Participate and/ or lead workgroups that support clinical strategies and initiatives.  
• Conduct ongoing performance evaluation of  direct reports including performance management, staff recognition, fostering opportunities for development, and disciplinary action as needed. Complete semiannual and annual performance evaluation for team 
• Perform other duties as assigned by management 

What you need to succeed:

• Active and unrestricted RN license issued by a state participating in the Nurse Licensure Compact (NLC) or a Behavioral Health license (LICSW, LMHC, LMFT) or a bachelors degree in Health Information Administration or related field; or an equivalent combination of education and experience
• Three to five years of experience in related healthcare field, or related field, or an equivalent combination of education and experience
• Supervisory experience or experience leading a team preferred

The Extras:

• Knowledge of project management methodologies
• Knowledge of business process improvement techniques and strategies
• Excellent verbal and written communications skills
• Collaboration skills
• Presentation skills
• Ability to interface with employees at all levels
• Ability to effectively navigate ambiguous situations with limited direction
• Excellent organizational skills and ability to successfully prioritize multiple tasks
• Ability to handle multiple priorities/projects 
• Ability to set and maintain quality standards
• Ability to develop and maintain effective and collaborative working relationships
• Strong and effective decision-making skills
• Strong organizational and time management skills
• Proficiency with Microsoft Suite of products (i.e., Word, Excel, PPT, etc.)

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
   

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.

The law requires an employer to post notices describing the Federal laws. Please visit  www.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.