Team Lead, Healthcare

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Full Time Shallotte, NC, US

The Team Leader is responsible for the supervision and management of team operations and staffing. Team Leader ensures that services are provided to the members served to meet the clinical needs of each recipient through direct and indirect interventions.

• The team leader (clinical supervisor) must provide individual therapy for recipients served by the team.
• Behavioral interventions such as modeling, behavior modification, and behavior rehearsal.
• Designates the appropriate team staff so that specialized clinical expertise is applied as clinically indicated for each recipient.
• Provides, coordinates, and oversees initial assessment and ongoing assessment of the recipient’s clinical needs.
• Develops and implements individualized supervision plans for team members.
• Provides clinical supervision of all members of the team for the provision of this service.
• Determines team caseload by the level of acuity and the needs of the individual served.
• Facilitates weekly team meetings.
• Monitors and evaluates the services, interventions, and activities provided by the team.
• Provide clinical expertise and guidance to the members in the team’s interventions with the recipient.
• Development of relapse prevention and disease management strategies to support recovery.
• Psycho-education for the recipient, families, caregivers, and/or other individuals involved with the recipient about the recipient’s diagnosis, symptoms, and treatment.
• Performs Intensive Case Management functions of linking and arranging for services and referrals.
• Participates in the initial PCP and revision of the Person-Centered Plan (PCP) as needed.
• Ensure and monitor the implementation of the PCP.
• Spends time at the location where services are being performed as specified in the service definition for that service.
• Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer needs and the PCP.
• Works closely with other clinical/professional staff to maintain communication and provide feedback, standardize procedures and expedite PCP implementation.
• Conducts and supervises formal investigations into incidents/allegations of abuse, neglect, exploitation, or other circumstances that may present a risk to the safety and health of the person supported.
• Ensures that all initial and reauthorizations for services occur in a timely fashion.
• Provides timely and accurate information when requesting authorizations from the LME/MCO/Statewide Vendor and follows up on each request for authorization modified, not approved, and/or not responded to.
• Notifies appropriate parties upon the denial/modification of continued services and provides person-supported/guardian DMA-approved appeal policies and materials.
• Monitors utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rules, PCP, and the service authorization.
• Coordinates transition to another level/type of care for the person supported.
• Coordinates and oversees the discharge planning process including the development of a discharge plan initially upon admission and a discharge summary with follow-up resources at the conclusion of services.
• Facilitates relationships and serves as a link between the company, consumer, guardians, local agencies, and the community.
• Drafts responses to and implements changes required by Medicaid, the Department of Facility Services, and/or other regulatory agencies.
• Performs all other…