MHSU Care Management Supervisor-Mobile/Remote (NC)

Partners Behavioral Health Management•Elkin, NC

37d•Remote

About The Position

The Mental Health Substance Use (MHSU) Care Management Supervisor manages and supervises a MHSU Care Management team. This position is responsible for management duties relating to MHSU treatment planning, assessment, referral/linkage, and monitoring of individuals in identified special healthcare needs populations and high risk high cost populations. This position requires a dynamic, proactive approach to supervision, assessment, monitoring and comprehensive management of care, to ensure quality supports and consistent adherence to waiver requirements. This is a mobile position requiring work in various locations.

Requirements

Master s-level fully Licensed Clinical Social Worker (LCSW), fully Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Clinical Addiction Specialist (LCAS), fully Licensed Psychological Associate (LPA), fully Licensed Marriage and Family Therapist (LMFT), or licensure as an RN, and
Three (3) years of experience providing care management, case management, or care coordination to the population being served of a supervising care manager.
Must reside in North Carolina.
Must have ability to travel as needed to perform the job duties

Nice To Haves

Above Requirements
Licensed Clinical Social Worker (LCSW), fully Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Clinical Addiction Specialist (LCAS), fully Licensed Psychological Associate (LPA), fully Licensed Marriage and Family Therapist (LMFT), or licensure as an RN Employee is responsible for complying with respective licensure board s continuing education/training requirements in order to maintain an active license.

Responsibilities

Supervises staff of an assigned MHSU Care Management Team which may include MHSU Care Managers, Transition Coordinators, In Reach Specialists, Hospital Liaison and/or Jail Liaisons
Completes weekly, monthly, quarterly and other performance reporting as required or needed related to individuals categorized as high cost high risk or special population
Provides communication and technical assistance with providers, members, stakeholders, and other LME/MCO staff regarding MHSU responsibilities and functions
Creates problem-solving and goal-oriented partnerships with individuals/legally responsible persons, providers, etc.
Provides training and instruction regarding Child and Family Team meeting facilitation for children/adolescents, treatment team planning and the Four Quadrant Care Management Model to staff, community, and stakeholders
Provides ongoing training and instruction regarding Service Definition requirements, provider network capacity, and medical necessity criteria to staff, community, and stakeholders as needed
Meets departmental goals to ensure that the following criteria are met for the MHSU Care Management Department: Timely development of the care plan, crisis plan and Behavior Support Plan (as applicable)
Identification and use of natural/community resources through the assessment/planning process
Appropriately updated assessments/plans
Services are monitored (including direct observation of service delivery) in all settings
Reporting of critical incidents
Timely follow-up on any concerns/issues
Timely submission of authorization requests for all LME/MCO funded services/supports
All clinical documentation (e.g. goals, plans, progress notes, etc.) meet State, agency and Medicaid requirements
Medical record compliance/quality, as demonstrated by ensuring ≥95% compliance on Qualitative Record Reviews
Weekly data sharing with the CCNC Informatics center and documentation of minimum monthly meetings with CCNC to facilitate communication and develop integrated care practices
Collaborates with CCNC, hospitals, and physicians within LME/MCO area to develop and implement plans, Management of activities, and management of deliverables for individuals categorized as high cost or high risk or special population due to frequent and intensive medical needs
Provides clinical consultation
Ensures continuity of care for intensive crisis services and other levels of care
Performs prior authorization review, continued stay and discharge reviews for services
Conducts chart reviews for care determinations to assist staff with creative problem solving to suggest alternative approaches to care
Utilizes clinical knowledge on a range of diagnosis for children and adults
Makes sound judgments based on clinical and legal requirements, client needs, and the crisis intervention and recovery model and community resources