Remote Bilingual Spanish Care Coordination Supervisor, Transitions of Care

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.

The SNP Care Management team is responsible for the health care management and coordination of care for SNP members with complex and chronic care needs.

About the role

The Supervisor, Care Coordination SNP, works with the SNP Manager to assure compliance with CM program requirements as outlined in the Model of Care. This includes the monitoring of activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members. Additionally, the Supervisor, Care Coordination SNP, oversees the Care Coordinator SNP team.

Responsibilities

• Create and maintain an environment that inspires and encourages the growth and engagement of team members.
• Provide guidance to staff or directly manage complicated coordination requests from members, providers, or staff.
• Assist with the development and oversight of SNP Care Coordination programs, projects, and workflows.
• Develop standard operating procedures (SOP) and reports.
• Collaborate with other supervisors and managers in the department to improve processes and workflow.
• Act as a resource to the members, providers, and community partners.
• Communicate effectively, both verbally and in writing, including presentations as required.
• Establish and maintain effective interpersonal relationships with staff at all levels, providers, other departments, or programs.
• Build team engagement.
• Communicate with internal and external customers in a professional manner and follow through on commitments.
• Initiate and follow through on projects.
• Work well as part of a team to manage/lead multiple projects simultaneously.
• Think critically to solve problems effectively.
• Work closely as a liaison between management and the team to ensure that new cases assigned are touched in a timely manner.
• Review reports on program performance, identify reporting opportunities and gaps to ensure the effective delivery of the SNP program.
• Participate in SNP quality audits including CMS program audits and vendor audits to assess timeliness of SNP activities. Report audit results and identify opportunities for process improvements.
• Effectively communicate and keep the Care Management leadership team informed of all departmental operations, activities, data, program performance, issues or any other pertinent information that would impact the overall program compliance or achievement of internal goals.
• Review reporting to assign tasks to Care Coordinators for completion of time-sensitive items.
• Mentor, train, audit, coach and manage a team of non-clinical Care Coordinator staff to ensure compliance with Alignment policies and procedure and all regulatory requirements.
• Direct administrative work as needed, including but not limited to maintaining and updating member’s records, mailing, or faxing correspondence to PCP’s/Specialists, opening cases and tasks in the Care Management platform to meet specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs).
• Assist with Case Management team coverage plans as needed.
• Maintain confidentiality of information between and among health care professionals.
• Other duties as assigned by CM Supervisor, Manager, or Director.

Supervisory Responsibilities

• Oversees assigned staff. Responsibilities include recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.

Requirements

• 3+ years Care Coordination experience; or any combination of education and experience, which would provide an equivalent background.
• 1+ years supervisory/lead experience in a health care setting or any combination of education and experience, which would provide an equivalent background.
• High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience.
• No licensure required.
• Ability to analyze data for trends.
• Knowledge of Managed Care Plans and medical terminology.
• Computer Skills: 25 WPM (Microsoft Outlook, Excel, Word).
• Good oral, written, and telephone skills.
• Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
• Good organizational skills.
• Ability to reason and carry out instructions.
• Good interpersonal skills.
• Read, write, and speak English fluently.
• File systematically.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk or hear.
• The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee frequently lifts and/or moves up to 10 pounds.
• Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay

Pay Range: $58,531.00 - $87,797.00. Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.