Medicare Integrated Care Management Supervisor (RN or LCSW)

About the role

The Supervisor, Integrated Care Management is responsible for providing clinical and operational oversight of a multidisciplinary care team. The supervisor ensures effective coordination with other supervisory staff to support seamless transitions between levels of care for members and contributes to the development of a cohesive and high-performing unit and is accountable for meeting established productivity and quality standards with accuracy to achieve the Health Services department's overall performance metrics. This position reports to the Manager, Integrated Care Management.

Responsibilities

• Develop, manage, and lead a team of self-accountable professionals by modeling real, personal accountability and instilling a culture of psychological safety and accountability.
• Support direct reports in holding themselves accountable to high performance standards and professional conduct in a clear, helpful, straightforward way.
• Conduct one-on-one conversations with direct report(s), focused on performance, development, and career growth.
• Ensure compliance with labor laws/regulations, support the implementation of organizational policies and procedures, and foster a positive and inclusive culture.
• Support the development, implementation, and monitoring of the department budget, to ensure efficient resource allocation and compliance with policies.
• Supervise and coordinate care management services; establish efficient workflows and address barriers to implementation.
• Create and revise workflows, job aids, and training materials to support staff and operations.
• Ensure staff consistently meet operational, clinical, and compliance standards.
• Maintain and provide backup coverage to ensure achievement of all internal and external need, including creating, delegating, and managing special projects, audits, and reports.
• Provide caseload coverage as necessary in the absence of clinical and non-clinical staff.
• Drive team goals focused on health outcomes and high-quality member experience.
• Support Manager in developing and operating quality assurance programs for clinical and non clinical staff to strengthen best practices and service quality.
• Lead hiring, onboarding, training, and evaluation of new staff.
• Partner with Manager to identify training needs and develop educational programs, training materials, competency tools, and orientation checklists that promote staff development and continuous quality improvement within ICM.
• Collaborate with Manager to ensure continuous quality improvement and monitor compliance with DHCS, CMS, NCQA and other governing organizations as required.
• Facilitate interdisciplinary team meetings (IDTs), case conferences, and team huddles.
• Maintain a valid CA Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW).
• Promote culture of holistic member centric care with a focus on physical, behavioral health and social determinants of health.
• Adhere to work performance norms and attendance expectations.
• Perform other duties as assigned.

Qualifications

• Education