Supervisor, Clinical Care Management

Provides front-line management and support to Clinical Care Managers in the execution of care coordination tasks for members requiring RN and BH care managers.

Responsibilities

• Functions as a “hands-on” supervisor, assisting in day-to-day operations and supervision of staff with adherence to departmental expectations.
• Provide direct coaching and mentoring to care management staff.
• Ensure performance management is implemented across the team.
• Responsible for recruiting, hiring, onboarding, and ongoing support of the departmental team.
• Ensures policies and procedures are fully and effectively implemented.
• Oversee appropriate system documentation within defined protocols and guidelines.
• Serve as the technical and content support to align programs/processes in support of the Strategic Plan.
• Serve as interdepartmental liaison, collaborating with internal resources in monitoring service levels to meet requirements.
• Assists the Managers as needed in the review and development of new projects/processes as requested by the health plan.
• Provide support to staff with care management tasks, including managing difficult member situations.
• Assist staff in arranging and coordinating services with community partners to maximize utilization of appropriate community resources and support groups.
• Assist with implementation of interventions to maintain and/or improve the quality and efficiency of the operations/services provided.
• Perform in-person member visits with staff at least annually and as needed.
• Perform any other job-related duties as requested.

Requirements

• Associate’s degree in nursing (RN), Bachelor’s Degree in Social Work, or Master's degree as relevant to licensure eligibility is required.
• Three (3) years of healthcare experience is required.
• Two (2) years of managed care and/or case management experience is preferred.
• Previous supervisory experience is preferred.
• Active, unrestricted State Licensed Practical Nurse (LPN), Registered Nurse (RN) license, Social Work license, or Counselor license required.
• Case Management certification preferred.
• Must have valid driver's license, vehicle, and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check.
• Influenza vaccination is required annually (October 1 – March 31) as a condition of continued employment.

Skills

• Ability to display a customer service, member-focused orientation.
• Strong team and staff development skills.
• Strong collaboration and conflict resolution skill sets.
• Ability to develop, prioritize, and accomplish goals/time management.
• Strong decision-making and problem-solving skills.
• Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats.
• Effective listening and critical thinking skills.
• Strong ability to teach best practice, engagement strategies for successful member participation (including motivational interviewing, best practice engagement techniques).
• Knowledge of state and federal healthcare regulations and environment.
• Ability to work in a fast-paced environment.
• Ability to work independently and within a team environment.
• Advanced knowledge of Microsoft Word, Excel, PowerPoint, and Visio.

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time.
• Must reside in the same territory assigned to work in; exceptions may be considered due to business need.
• Must be able to travel to member's homes and MA office locations.
• Up to 15% (occasional) travel may be required to different locations, including homes, offices, or other public settings, to perform work duties.

Pay

$80,000 - $120,000. Salary is based on a combination of a candidate’s education, training, and experience, as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on every employee’s total well-being.