Case Management Supervisor

About the role

The Care Management Supervisor supervises the case management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. This role also assists with the provision of or reinforcement of training principles for other team members.

Responsibilities

• Monitor and review care management required documentation to maintain compliance with federal and state regulations and contractual agreements.
• Assign caseloads to care management staff based on state requirements, care management staff experience, and member needs.
• Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns.
• Educates and provides resources for care management team on key initiatives and member outreach.
• Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones.
• Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits.
• Upon notification of a crisis, the CM, and CM supervisor, as necessary, shall triage and employ necessary interventions to assist member recover from the crisis. If imminent danger is suspected or present, activates emergency services, as necessary and consistent with training and policy.
• Maintains accurate written documentation and records of case management activities in computer systems according to appropriate service coordination and/or clinical guidelines.
• Maintains compliance with all state and federal regulations, including HIPAA standards of confidentiality of protected health information, reporting critical incidents and reporting of quality-of-care issues.

Requirements

• A minimum of 4 years of experience in related field.
• A minimum of 1 year of experience leading/managing and developing a team.
• Experience with serving members in the community.
• Health plan experience with case management responsibilities.
• Experience with Medicare / Medicaid programs.
• Experience with individuals who have special health care needs, including HIV/AIDS, developmental disabilities, medically fragile, older adults, individuals with physical disabilities, housing insecurity, mental health and substance use disorder and other vulnerable needs.
• Previous experience in utilization management, discharge planning and/or housing resources.
• Ability to communicate using American Sign Language.
• Licensed RN with BH experience, LPN, LCSW, LSW, LMHC, LMFT or CSAC in the State of Hawaii.
• Bi-lingual in any of the following languages preferred: Ilocano, Tagalog, Mandarin Chinese, Japanese or Korean.

Preferred Requirements

• Intermediate skills in Microsoft Programs: Word, Excel, Outlook and PowerPoint.
• Possession of a current valid Hawaii driver’s license and access to an insured automobile.
• TB Clearance.
• CPR Certification.