Deputy Manager - LTC Care Manager Supervisor

About
Capgemini

With
more than 180,000 people in over 40 countries, Capgemini is a global leader in
consulting, technology and outsourcing services. The Group reported 2015 global
revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and
delivers business, technology and digital solutions that fit their needs,
enabling them to achieve innovation and competitiveness. A deeply multicultural
organization, Capgemini has developed its own way of working, the Collaborative
Business Experience™, and draws on Rightshore®, its worldwide delivery model.

Learn
more about us at www.capgemini.com.

Rightshore®
is a trademark belonging to Capgemini.

Capgemini
is an Equal Opportunity Employer encouraging diversity in the workplace. All
qualified applicants will receive consideration for employment without regard
to race, national origin, gender identity/expression, age, religion,
disability, sexual orientation, genetics, veteran status, marital status or any
other characteristic protected by law.

This
is a general description of the Duties, Responsibilities and Qualifications
required for this position. Physical, mental, sensory or environmental demands
may be referenced in an attempt to communicate the manner in which this
position traditionally is performed. Whenever necessary to provide individuals
with disabilities an equal employment opportunity, Capgemini will consider
reasonable accommodations that might involve varying job requirements and/or
changing the way this job is performed, provided that such accommodations do
not pose an undue hardship.

Click
the following link for more information on your rights as an
Applicant:http://www.capgemini.com/resources/equal-employment-opportunity-is-the-law

Location: Pensacola, FL

Role:

LTC
Care Manager Supervisor

Grade:

Role
Description

Role
Overview:

The
Care Management Supervisor is responsible for coordinating, monitoring,
evaluating, and facilitating high quality, cost effective care related to
medical/care management. Assists in the
development, organization, direction and maintenance of all Care Management
functions for Members/Policyholders. The
Supervisor provides oversight in the day-to-day care management activities and
works independently with little supervision.

General
Responsibilities / Accountabilities:

Includes the following. Other duties may be
assigned.

Coordinates
care services for patients as prescribed by the client’s policy, patient
eligibility, and medical necessity.Performs
the full scope of case management activities as appropriate, including but not
limited to authorizing services, reviewing medical status updates, revising
treatment plan in conjunction with
physician, patient and provider, and discharging patient appropriately.Maintains
client satisfaction throughout the spectrum of case management activities. Monitors referrals
and care management activities by carrier, adjusting staffing and work
assignments as needed to maintain productivity standards.Maintains
appropriate levels of utilization.
Assists in analyzing utilization reports and developing strategies for
operational improvements. Assists in
implementation of operational changes in order to improve efficiency of
processes and meet CHCS strategic goals. Serves
as a clinical resource to the care managers and other clinical staff.Resolve complaints
in a positive manner with tact and diplomacy within established time frames.Applies regulatory
scope of practice to home care providers.Continuously
monitor status and impact of care coordination and adjusts plan accordingly.Maintains awareness
of federal legislation effecting case management services.Ensures clinical
staff complies with department and CHCS policies and procedures.Responsible for
orienting and counseling clinical staff when needed.Functions as a
facilitator with regard to workplace departmental issues.Responsible as an
account specific liaison for assisting care managers and data entry specialists
in problem solving and managing challenging scenarios on a day-to-day
basis. Interacts with manager in problem
solving activities as required.

Qualifications
(Education/Experience/Certification)

CERTIFICATES,
LICENSES, REGISTRATIONS

RN
required.

BSN
or CCM a plus.

EDUCATION
and/or EXPERIENCE

Must
possess a current RN license in the state of residence. A minimum of three years relevant nursing
experience in clinical experience in a hospital/facility/home care setting,
preferred. A minimum of 3+ year’s
previous supervisory experience that may include Quality Assurance, Utilization
Management, and/or Care/Disease Management. An Associate or Bachelor’s Degree
in nursing, health and gerontology or a related field.

Care
Management Supervisor shall have the following additional qualifications: (a) demonstrates ability to establish and
maintain empathetic relationships; (b) experience in conducting social and
health assessments; (c) knowledge of human behavior, family/caregiver dynamics,
human development and disability; (d) awareness of community resources and
services; (e) must demonstrate effective supervisory ability, and at least one
year of specific experience in conducting assessments, developing care plans,
and monitoring home and community-based services, and (f) computer literacy.

Competencies

Proficiency

Level

Core
Behaviors

Living
Capgemini Values, Diversity, Life Balancing, Professional Integrity, Client
Value & Service Excellence, Collaboration, Flexibility, Initiative,
Resilience, Continuous Learning & Self Development

Meets
Expectations

Professional
Competencies

Foundation
Skills: Time/Task Management, Attention to detail, Conflict Management,
Decision Making & Judgment, Communicating, Presentation, Influencing

2-
Experienced

Service
& Delivery: Planning & Organizing, Managing & Controlling,
Requirements Assessment, Analytical Problem Solving, Solution Design, Project
Closure, Documentation

2-
Experienced

People
Leadership: Staff Acquisition, Leadership Conduct, Managing Others, Developing
Others

3-
Proficient

Client
Acquisition & Development: Managing Relationships, Executive Interaction,
Client Organizational Awareness, Generating & Transforming Opportunities

N/A

Innovation
& Capability Growth: Awareness of External Environment, Innovation,
Capgemini Business Acumen, Knowledge Sharing / Leveraging Knowledge, Reuse,
Facilitation

3-
Proficient

Business
Leadership: Business Planning & Execution, Global Perspective, Visionary
leadership

3-
Proficient

Technology
Awareness and Leveraging: Technology Awareness, Technology Leverage

3-
Proficient

Role
Specific Competencies

BPO
Technology

3-
Proficient

Commercial
Control

3-
Proficient

BPO
Process

2-
Experienced

Analytics

3-
Proficient

Proficiency
levels

1
- Master (role model)

Demonstrated
consistent excellence in applying this competencyRecognized
thought leader on this competency

2
- Experienced (extensive practical application

and
experience)

Demonstrated
consistent achievement in applying this competencyIs
routinely sought out to coach others in the application of this competency

3
- Proficient (practical application and experience)

Have
applied this competency independently in many situationsCapable
of coaching others in the application of this competency

4
- Progressing (limited practical application

and
experience)

Applied
this competency but still require guidance to perform successfully

5
- Baseline (theoretical knowledge)

Newly
developing this competency and have completed formal training or on-the-job
trainingHave
limited or no applied experience in this competency and require a high level of
guidance to perform successfullyN/A
- Not ApplicableThe
competency is not applicable to the grade/role