Medicaid Program Manager Jobs in Renton, WA (NOW HIRING)

Lifelong is a community health organization on a mission to make health and food accessible. We remove barriers to health with relentless compassion so that no one faces illness and injustice alone.
We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone has the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support, and connection to housing and other vital resources.
Position Overview:
The ADS CMP Supervisor is responsible for providing oversight of day-to-day administrative processes for the program including assessment processing, supporting case management duties, technical support, and coordinating contracting and coordination of providers of in-home services to elderly and disabled adult clients receiving Department of Social and Health Services (DSHS) Medicaid funded personal care and other services.
The ADS CMP Supervisor performs the duties of a Case Manager up to 8 hours a week and Supervisor duties assigned by their manager the other 32-40 hours a week. The ADS CMP Supervisor is expected to achieve up to 20% of the standard Case Manager's productivity outcomes. Additionally, the ADS CMP Supervisor will contribute to the smooth and effective operation of case management training of new case managers, the development and maintenance of policies and procedures, and other duties as assigned. The ADS CMP Supervisor reports to the ADS Program Manager.
This regular, full-time, non-exempt, non-union role has a schedule of 08:30AM - 5PM Monday - Friday and is based in the Georgetown neighborhood of Seattle, with onsite presence required at least three days per week (Tuesday - Thursday).
Essential Duties:Medical Case Management

• CLIENT SERVICES: Perform assessments with clients in their residence to determine service needs and program eligibility annually. Develop a plan of care with each client, authorize services according to that plan, and authorize the client's choice of qualified provider. Monitor the plan through periodic telephone contacts and home visits to ensure the plan is being appropriately implemented and the services provided meet the client's needs. Educate clients, family members, support systems and other service providers on the comprehensive plan of care that has been implemented. Provide client-centered services, evaluating informal and community support, with an overarching goal of preventing unnecessary institutionalization. Ensure the highest quality service delivery in a culturally appropriate manner by maintaining quality and customer service standards and expectations. Work with vendors and clients to respond to complaints, enquiries, and questions. Maintain secure and confidential client information.
• SERVICES TERMINATION PLAN: Inform clients that services are based on their current needs and can change if their needs change. Make necessary referrals (if needed) to transition the client to other services, provide adequate notice via a Planned Action Notice (PAN), and close services in the necessary timeframe.
• PROGRAM RESPONSIBILITIES: Maintain effective, timely, and thorough communication in all direction to ensure co-workers, partners, community stakeholders, clients, funders, and management are well-informed and knowledgeable of the status of the client issues and any program and related issues or projects. Keep clients and case managers apprised of adjustments and changes in the program.

Clinical Services Management

• Promote the highest quality clinical service delivery in a culturally mindful manner by maintaining customer service standards and expectations.
• Strive to align consumer services with the National Association of Social Work Code of Ethics and best practices.
• Collaborate with other managers and Lifelong staff to facilitate cross-regional services, policies, and expectations.
• Provide ongoing supervision and clinical support, drawing upon both internal and external clinical resources as needed.

Staff Supervision

• With support from the Program Manager and Director, participate in the development of new staff positions including recruitment, interviewing, and onboarding of new staff.
• Ensure that staff receive relevant levels of ongoing training and are professional and responsive to their consumers, community collaborators, and stakeholders.
• Coordinate staff training based on observations and analysis of staff needs, as well as Program Manager, Director, and City of Seattle requests.
• Establish and oversee all administrative processes for the program including tracking of several revolving deadlines and communicating with case managers regarding completion of these tasks.
• Direct and monitor caseloads, workflow, and setting of staff schedules.
• Create positive and collaborative team morale and culture while enforcing policies and procedures, mediating office conflicts, and addressing client grievances in a timely manner.
• Supervise staff and provide ongoing feedback and guidance.
• Assist with processing timecards and time off requests.

Administration

• Collaborate with the Program Manager and Director to ensure that contract deliverables are being met.
• Work with staff to train for quality data entry and alignment with Quality Assurance goals.
• Participate in all Quality Assurance activities as requested and develop and monitor documentation systems (both electronic and paper back-up) for managing the multiple deadlines associated with the administrative requirements of the program.
• Train other staff on proper use of these systems & monitor for compliance.
• Assist the Program Manager in preparing for and completing the Administrative Hearing process.
• Coordinate and lead ordering of medical equipment.

Core Competencies:

• Proficiency in Windows Office programs including database management.
• Ability to communicate clearly and professionally in both verbal and written form.
• Ability to respond quickly to change and work in stressful and conflicting environments.

Education & Experience:

• Leadership Experience
  • Minimum of two years relevant experience working with aged and/or disabled persons.
  • Demonstrated technical knowledge of a variety of database systems.
  • Demonstrated ability to organize, prioritize multiple projects, and meet deadlines in a time-sensitive environment.
  • Demonstrated ability to lead a team through understanding and adhering to complex Federal and State regulations and definitions and to complete extensive technical documentation.
  • Ability to collaborate with leadership to create efficiencies and maximize staff potential.
• Clinical Experience
  • Experience within clinical healthcare system delivery; knowledgeable about chronic health management and system navigation.
  • Possess an understanding of professional boundaries, social work ethics, and HIPAA rules.
  • Experience working with clients with complex behavioral barriers including psychiatric impairments, chemical dependencies, and traumatic life events.
  • Knowledge of and experience with Washington State Long Term Support Services and Medicaid Case Management.
• Bachelor's degree (Master's preferred) in social services, human resources, public administration, public policy, or related field, or combination of related education and work experience.

Minimum Qualifications:
Must meet one of the below education & experience combinations:

• Four years of paid, full time, social service experience and a high school diploma or its equivalent; or Three years of paid, full time, social service, a high school diploma or its equivalent, and are bilingual; and four years of supervisory experience, mentorship, demonstrated leadership roles, or participated in leadership courses; or
• As designated by the AAA, internal candidates who complete succession planning, training, or leadership courses may be considered; or
• Two years of supervisory experience, mentorship in social services, or demonstrated leadership roles and a Bachelor's degree or its equivalent.

Benefits:

• Comprehensive medical, dental, and vision benefits
• Generous vacation (3 weeks your first year), sick leave, and 2 personal days a year
• 401(k) match
• Flexible spending accounts
• Life insurance options
• Long term disability
• Mass transit subsidy
• 15 paid holidays per year

Work Environment:

• All positions that involve in person work with clients are required to undergo a TB test within 30 days of starting employment and annually, or as required by program.
• Any offer of employment is contingent upon passing a criminal background check. Some programs may require additional background checks or frequency.
• This position requires regular work at a desk and on a computer, combined with frequent interaction with clients both on-site and in the community. The role may involve travel to client homes, partner agencies, or community locations, which can include exposure to a variety of environmental conditions. Employees must be able to sit, stand, walk, bend, and reach as needed, and occasionally lift up to 20 pounds to transport materials or supplies. Work may occur in office, residential, or community settings, and may occasionally involve outdoor conditions or environments with moderate noise. The role may also involve occasional attendance at events or activities that take place outside of normal office settings or standard business hours.

About Lifelong:
Lifelong is a community health organization committed to removing barriers to health with relentless compassion so that no one faces illness and injustice alone.
We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone can have the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support, and connection to housing and other vital resources.
We are looking for passionate, dedicated people to join our talented team and make real, meaningful changes in the daily lives of those living with chronic and life-threatening illnesses in their community. Lifelong offers exceptional benefits, including paid time off, medical and dental coverage in addition to a balanced work-life integration.
Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Lifelong, we are dedicated to building a diverse, equitable, inclusive and authentic workplace, so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
EEO Statement:
Lifelong is committed to creating an accessible, supportive environment and experience that recognizes diversity and cultural competence as integral components of what we do.
We are an Equal Employment Opportunity Employer and as such, we do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
DISCLAIMER: INTENT AND FUNCTION OF JOB DESCRIPTIONS
Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
Job descriptions assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. They are an integral part of a compensation system, effective performance review system, related promotion, transfer, layoff, etc. decisions.
All descriptions have been reviewed to illustrate the job functions and basic duties, in addition to peripheral tasks or that could generally be considered as other duties as assigned.
In no instance, however, should the duties, responsibilities and requirements be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills and abilities included have been determined to illustrate the minimal standards required to successfully perform the positions.