Care Management Supervisor

Company: RHA Health Services, LLC
Location: Lenoir
Posted on: August 4, 2022

Job Description:

We are hiring for:Care Management SupervisorLocation:Lenoir, NCType:RegularIf you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!Job Summary: Manages and directs the operations of Care Management services, ensuring sustained high quality of care and services to persons with mental health, substance use and/or developmental disabilities.The Care Management Supervisor leads and directs the administrative, clinical, financial, and employee relation functions and implements and ensures compliance with company, state and federal policy while directly supervising care managers and care manager extenders.Essential Job Related Responsibilities Leads Care Management Service Delivery - Leads and supervises a regional team of no more than 8 care managers and 2 care manager extenders per care manager. Collaborates cross-functionally within the organization to develop and implement workflows, policies and procedures, and documentation standards that promote whole person care. Provides leadership to employees by promoting harmony among coworkers and clearly stating organization objectives and strategies.Directly supervises Care Manager employees.Maintains a positive and professional image in the work setting and community.Follows policies and procedures to ensure accountability of service delivery.Monitors and supports staff in delivery of care management per the identified needs of beneficiaries.Staff Development - Provides leadership to ensure best utilization of resources in obtaining regional and organizational goals, adhering to corporate policies through oversight of daily operations, assessment of adequacy of staffing, and adherence to standards of care management staff.Ensures timely recruitment to fill vacancies and ensure continuity of services.Manages Staff Training and Development.Ensurespolicy and training development and implementation.Ensures timely completion of performance evaluations.Best Practices - Demonstrates a passion for leading positive change by continuously improving and defining innovative care management interventions.Stays up to date with current best practices and keeps the team continuously informed about best practice innovations.Cross-functional Collaboration - Collaborates cross-functionally with other RHA departments to ensure success of Care Management implementation, to include clinical, operations, finance, IT, nursing, QA/training, etcPerson-Centered Approach - Maintains a person-centered philosophy that focuses on an individual's strengths, needs, and preferences that promote health, wellness, and safety.Work with the staff and managers to continuously optimize individual education around self-management, disease management, and integrated healthcare planning.Ensures that the individual and collateral supports can actively participate.Quality Assurance and Use of Data - Implements the strategic use of data to support the effective delivery of Care Management services.The use of data elements, to include encounter and risk stratification data, will support the implementation of Care Management that is effective, integrated, and well-coordinated.Utilizes metrics and reports to ensure work is allocated timely and appropriately and meets regulatory compliance requirements, individual needs, and performance standards.Ensure the care management program, metrics and performance are consistently meeting established targets. Experience using data and metrics to monitor performance, allocate workloads, and monitor medical and utilization trends. Engages in clinical quality initiatives and manages measures associated with key performance indicators.Maintains a Safe and Healthy Environment- Ensures implementation of all organization health and safety policies and procedures. Financial Performance - works with the Executive Director to execute, monitor, and analyze the program budgets in collaboration with financial services.Ensures operations are in accordance with the approved budget and productivity targets of the team are met.Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with employees, colleagues, payors, and peer network.Fosters open communication, feedback, andhelps keep the team focused and progressing toward organization goals. Notifies Executive Director immediately of events that could significantly impact the company. Establishes and maintains strong external relationships, to include providers, payers, and community resources. Ethics & Compliance - Creates and manages an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies.Participates in the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy as needed or requested. Ensures protections of individuals served during investigations.Ensures all external reporting requirements are followed.Ensures adequate follow- through on recommendations from investigation reports. Ensures occurrence and attendance of designated members (staff and service users) to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings.Supervisory Responsibilities Direct supervisory responsibility for up to eight care manager staff and up to two extenders per each care manager staff.Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, recommendations for hiring, and training employees; planning, assigning, and directing work; reviewing performance; rewarding, motivating, and promoting team performance; addressing complaints and resolving problems. Cover for care manager duties during vacation, sick leave or staff turnovers. Review ALL Tailored care management care plans and Individual Support Plans (ISP's) and will provide guidance to care managers and care manager extenders on how to meet an individual's needs. Education- Masters level fully Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Psychological Associate (LPA), or licensure as an RN; andExperience- three years of experience providing care management, case management, or care coordination to the population being served.We offer the following benefits to employees:Payactiv: early access to the money you've earned from hours you've already worked, before payday!Employee perks and discount program: to help you save money!Paid Time Off (full-time employees only)Health/Insurance (full-time employees only)401(k) retirement savings program Wellbeing Programs: Physical, Emotional and FinancialChronic Disease management programs for hypertension and diabetes (for qualifying employees)Training: Free CPR, first aid, and job-specific training opportunities*contract/contingent workers and interns do not qualify for any of the above benefitsIf you are ready to make a difference in the lives of people we serve and support apply to join the team today.EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

Keywords: RHA Health Services, LLC, Gastonia , Care Management Supervisor, Executive , Lenoir, North Carolina