Medicaid Care Manager Team Lead

2 weeks ago


Jersey City, New Jersey, United States Medix Full time
Job Summary:

As the Medicaid Care Manager Team Lead at Medix, you will play a critical role in ensuring compliance with Medicaid requirements and overseeing the daily operations of the Care Management team. This position focuses on delivering quality, member-centered care, reducing emergency room visits, improving health outcomes, and promoting cost-effective services.

Key Responsibilities:

Provide clinical guidance to Care Managers and support staff.
Oversee care management workflows, including case referrals, follow-ups, and documentation.
Ensure care management follows clinical guidelines and organizational standards.
Perform quality reviews and coach staff to enhance performance.
Track productivity using data and implement improvement strategies.
Lead interdisciplinary care team meetings and ensure follow-up on member care.
Collaborate with Behavioral Health to improve care for co-managed members.
Handle daily operational issues, escalating as needed to the Director.
Conduct audits and submit regular reports on department performance.
Support training and development efforts within the team.
Ensure staff comply with all mandatory training and policies.

Requirements:

Bachelor's degree required, Master's preferred.
5+ years of care management experience, with 2+ years in a leadership role.
Proficiency in Microsoft Office and healthcare systems.
Ability to interpret medical records and claims data.
Must hold a current New York State RN license.
Strong communication, problem-solving, and organizational skills.

Preferred Competencies:

Integrity, trust, and customer focus.
Strong leadership, time management, and conflict resolution abilities.
Ability to work under pressure and adapt to changing priorities.

Medix is acting as an Employment Agency in relation to this vacancy.

  • Jersey City, New Jersey, United States Medix Full time

    Job Summary:The Medicaid Care Manager Team Lead plays a crucial role in ensuring compliance with Medicaid requirements and overseeing the daily operations of the Care Management team. This leadership position focuses on delivering high-quality, member-centered care, reducing emergency room visits, and promoting cost-effective services.Key...


  • Jersey City, New Jersey, United States Medix Full time

    Job Summary:As the Medicaid Care Manager Team Lead, you will be responsible for ensuring compliance with Medicaid requirements and overseeing the daily operations of the Care Management team. This role focuses on delivering quality, member-centered care, reducing emergency room visits, improving health outcomes, and promoting cost-effective services.Key...

  • Medicaid Expert

    3 weeks ago


    Jersey City, New Jersey, United States Della Infotech Full time

    Job Title:Medicaid ExpertDuration: 12 monthsLocation:RemoteJob Requirements: Bachelor's degree or equivalent work experience Experience with Medicaid Eligibility Systems 5+ years of overall Information Technology work experience 5+ years of Project Management work experienceKey Responsibilities: Manage and coordinate Medicaid-related projects Collaborate...


  • Jersey City, New Jersey, United States Alvita Care Full time

    Job Title: Home Care RN Case ManagerAlvita Care is a mission-driven Home Healthcare & Personal Care Agency with four branches and over 500 caregivers. We provide relief and assurance to family members in the areas of In-Home Personal Care, Alzheimer's & Dementia Care, Palliative & Hospice Care, and Geriatric Care Management and have earned The Joint...


  • Jersey City, New Jersey, United States AnewHealth Full time

    AnewHealth is a leading pharmacy care management company specializing in caring for individuals with complex, chronic needs.We strive for better patient outcomes and healthcare organization support. With over 1,400 team members, we care for more than 100,000 people across the US.This role performs technical and specialized tasks in disease management. The...

  • GSRP Lead Teacher

    3 weeks ago


    Jersey City, New Jersey, United States Learning Care Group Full time

    About the RoleWe are seeking a highly skilled and dedicated GSRP Lead Teacher to join our team at Learning Care Group. As a GSRP Lead Teacher, you will play a vital role in shaping the educational experience of our preschool children.Key ResponsibilitiesCurriculum Development: Create engaging and interactive learning experiences that cater to the diverse...


  • Jersey City, New Jersey, United States OSL Retail Services Full time

    OverviewAs a Wireless Sales Team Lead at OSL Retail Services, you will play a vital role in advancing sales objectives, developing a skilled team of Mobile Experts, and ensuring that customers receive outstanding personalized experiences.Earn a competitive annual salary of $50-$65k with the potential for additional performance-based earnings. Enjoy...

  • Culinary Team Lead

    4 weeks ago


    Jersey City, New Jersey, United States Livingston Hills Rehabilitation & Nursing Care Center Full time

    Job Title: Cook SupervisorLivingston Hills Rehabilitation & Nursing Care Center is seeking a skilled Cook Supervisor to join our team.Responsibilities:Ensure the cleanliness and organization of food service equipment and areas.Supervise and assist in food preparation tasks, including portioning and assembling of trays.Participate in tray service and...


  • Jersey City, New Jersey, United States Alvita Care Full time

    Job SummaryThe Home Care RN Case Manager will be responsible for planning, providing, and coordinating quality client care throughout New Jersey. This role plays an integral part in providing and coordinating care, including assessing the patient's condition and providing them the necessary resources, options, and coordination for a healthy care outcome.Key...

  • To Go Expeditor

    3 weeks ago


    Jersey City, New Jersey, United States Hannaford Full time

    Hannaford Job SummaryAs a To Go Expeditor Team Lead at Hannaford, you will be responsible for supervising the performance of all duties and responsibilities of all To Go associates. You will manage customers' online orders and maintain effective work schedules for To Go associates to meet business traffic requirements and minimize customer inconvenience....


  • Jersey City, New Jersey, United States Andersen Full time

    Join Our Team as a Lead Window InstallerWe are seeking a skilled and experienced Lead Window Installer to join our team at Renewal by Andersen. As a Lead Window Installer, you will be responsible for overseeing the installation of windows and doors at a single job site, ensuring customer satisfaction, and providing direction and training to other...


  • Jersey City, New Jersey, United States JPMorganChase Full time

    Job OverviewThis is an exceptional opportunity to lead multiple teams and drive success at one of the world's leading financial institutions, JPMorgan Chase.As a Manager of Software Engineering, you will be responsible for guiding software engineers on daily tasks and activities, setting overall guidance and expectations for team output, practices, and...


  • Jersey City, New Jersey, United States Alvita Care Full time

    Job Summary:The Home Care RN Case Manager will be responsible for planning, providing, and coordinating quality client care throughout New Jersey. This role plays an integral part in providing and coordinating care, including assessing the patient's condition and providing them the necessary resources, options, and coordination for a healthy care outcome....

  • Team Lead

    4 weeks ago


    Jersey City, New Jersey, United States Atlas Copco Full time

    Job Title: Production Team LeadAtlas Copco is seeking a highly motivated and experienced Production Team Lead to join our team in Hudson, Michigan. As a key member of our production team, you will be responsible for providing hands-on leadership to the manufacturing plant floor, assisting the Production Supervisor with workflow and productivity, and ensuring...

  • Shift Team Lead

    2 weeks ago


    Jersey City, New Jersey, United States Pita Way Full time

    The Shift Team Lead position is an excellent opportunity to develop your leadership skills while working closely with the Assistant Team Leader and Team Leader.As a Shift Team Lead, you will be responsible for running shifts and ensuring operations are on track and organized.This role is ideal for individuals looking to grow their leadership skills and take...


  • Jersey City, New Jersey, United States Public Partnerships Full time

    At Public Partnerships, we're dedicated to empowering individuals with disabilities or chronic illnesses and aging adults to remain in their homes and communities, self-directing their own long-term home care.As a Senior Supports Broker Team Lead, you'll play a vital role in our mission by supervising and mentoring members of the Supports Broker team,...


  • Jersey City, New Jersey, United States Whole Foods Market Full time

    Job SummaryWe are seeking a highly skilled and experienced Meat Department Supervisor to join our team at Whole Foods Market. As a key member of our meat department, you will be responsible for leading and developing a high-performing team, ensuring exceptional customer service, and maintaining the highest standards of retail execution.Key...


  • Jersey City, New Jersey, United States Whole Foods Market Full time

    Job SummaryWe are seeking a highly skilled and experienced Meat Department Supervisor to join our team at Whole Foods Market. As a key member of our meat department, you will be responsible for leading and developing a high-performing team, ensuring exceptional customer service, and maintaining the highest standards of retail execution.Key...

  • Development Team Lead

    3 weeks ago


    Jersey City, New Jersey, United States The Citco Group Limited Full time

    About the RoleThe Citco Group Limited is seeking a highly skilled Development Team Lead to join our Private Equity IT team. As a key member of our team, you will be responsible for managing the local PE IT team and working closely with business stakeholders, developers, and infrastructure engineers to understand business-related challenges, design process...

  • Automotive Team Lead

    3 weeks ago


    Jersey City, New Jersey, United States Jiffy Lube Full time

    Supervisor Job DescriptionAs a Supervisor at Jiffy Lube, you will be responsible for leading a team of certified technicians in providing exceptional service to our guests. Your primary goal will be to ensure that all services are performed to the highest standards, while also focusing on the career development of your teammates.Key Responsibilities:Oversee...