Care Manager Supervisor

PROMESA R.H.C.F.•New York, NY

12d

About The Position

The Adult Care Management Supervisor is responsible for maintaining the quality and effectiveness of clinical services of the health home programs. The position incorporates direct staff supervision and a range of administrative tasks related to clinical operations and as assigned by the program director. The staff is responsible for maintaining BAHN regulatory compliance, to provide comprehensive leadership and supervision to the health home team of care managers. Be an integral part of the health home leadership team to educate, provide insight, ensure quality, and engage in member retention. Under supervision of the program director, the requirements listed below represent the knowledge, skill, and/or ability required. The provider ensures strengths based; person centered quality of care provided in a meaningful therapeutic environment. Reasonable accommodations may be made to enable individuals with disabilities as defined by the Americans Disability Act to perform the essential functions of the job. The functions below outline the general responsibilities associated with this position. Each of these functions is considered critical to effectiveness of the health home department operations and the agency mission. It is expected that all staff in this position will have satisfactory attendance and will perform these functions as assigned in a competent, cooperative, and timely manner. The job description will be reviewed periodically for accuracy and/or adjusted according to business necessity.

Requirements

Master’s degree in Health, Human Services, Mental Health, Social Work and one year of supervisory experience and one year of qualifying experience in Mental Health or social service setting; OR Bachelor’s degree in Health, Human Services, Mental Health, Social Work and three years of supervisory experience and three years of qualifying experience in Mental Health or social service setting.
Core competency trainings completed within the first 18 months of employment, AND A minimum of 70 hours annually thereafter.
Must obtain Mandated reporter (2 hours) prior to hire date.
Bilingual (Spanish) strongly preferred.
Ability to use business acumen to exercise good judgment and decision-making.
Ability to deal with sensitive issues with diplomacy and discretion.
Must be able to multitask with strong organizational skills.
Excellent interpersonal skills and able to communicate both verbally and in written form.
Commitment to cultural diversity and sensitivity.
Ability to maintain a professional demeanor under pressure, and operate with a keen sense of urgency and commitment to quality.
Qualifying experience means verifiable work with target populations including individuals with HIV, history of mental illness, homelessness, or substance use.

Nice To Haves

Bilingual (Spanish) strongly preferred.

Responsibilities

Provide leadership and ongoing supervision to care management staff.
Provide ongoing oversight and ensure quality assurance regarding care management outreach, engagement, and coordination activities.
Review, approve, completed as needed, and sign off on clinical documentation including but not limited to, comprehensive assessments and plans of care.
Manage the overall care management document submission process as it relates to compliance with monthly billing and coordination services.
Educate and provide recommendations for member care coordination activities/services.
Review, assign and manage member enrollment to care management staff.
Adhere to the standards, policies and procedures, and goals of the Health Home program and funding sources.
Responsible for all member related documentation in the assigned portals and compliance in accordance with the Health Home program regulations.
Act as a liaison in coordinating and documenting member care activities with staff, internal and external service providers.
Perform other appropriate duties as requested by administrator and program director
Participate in staff and organizational meetings as required.
Participate in all programs related auditing.
Work closely with program director on special projects, assessments, and completion on any staff training need etc
Participate and perform in quality assurance/quality improvement processes.
Provide onboarding training to staff based on health home clinical documentation standards and/or assign by program director.
Conduct ongoing supervision with care managers to reiterate policy and procedure and health homes documentation workflows.
Review potential disenrollment with care management staff to ensure quality disenrollment as well as increase member retention.
Responsible for managing staff timesheet/payroll submission.
Attend internal and external trainings for personal and professional development.
Conduct staffing interviews.
Responsible for conducting case conference as requested.
Evaluate care managers on work performance and complete annual evaluations and development plans.
Responsible for staff timely completion of internal and external required assessments (ex. Comprehensive Assessments, Eligibility and Appropriateness Assessment, plan of care, consents, HARP, etc).
Rotation of work phone for the 24 afterhours hotline to obtain client’s information by answering telephone calls, interviewing clients, and verifying information