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RHA Health Services, LLC · 2 weeks ago

IDD Care Management Supervisor / Central NC

Charlotte, NC

Full-time

Onsite

Mid, Senior Level

$65K/yr - $75K/yr

3+ years exp

RHA Health Services is hiring for an IDD Care Management Supervisor to lead and direct the operations of Care Management services. The role involves supervising care managers, ensuring high-quality care for individuals with mental health and developmental disabilities, and implementing compliance with policies.

Health Care

Responsibilities

Leads Care Management Service Delivery - Leads and supervises a regional team of no more than 8 care managers and 2 care manager extenders per care manager. Collaborates cross-functionally within the organization to develop and implement workflows, policies and procedures, and documentation standards that promote whole person care. Provides leadership to employees by promoting harmony among coworkers and clearly stating organization objectives and strategies. Directly supervises Care Manager employees. Maintains a positive and professional image in the work setting and community. Follows policies and procedures to ensure accountability of service delivery. Monitors and supports staff in delivery of care management per the identified needs of beneficiaries

Staff Development - Provides leadership to ensure best utilization of resources in obtaining regional and organizational goals, adhering to corporate policies through oversight of daily operations, assessment of adequacy of staffing, and adherence to standards of care management staff. Ensures timely recruitment to fill vacancies and ensure continuity of services. Manages Staff Training and Development. Ensures policy and training development and implementation. Ensures timely completion of performance evaluations

Best Practices – Demonstrates a passion for leading positive change by continuously improving and defining innovative care management interventions. Stays up to date with current best practices and keeps the team continuously informed about best practice innovations

Cross-functional Collaboration - Collaborates cross-functionally with other RHA departments to ensure success of Care Management implementation, to include clinical, operations, finance, IT, nursing, QA/training, etc

Person-Centered Approach – Maintains a person-centered philosophy that focuses on an individual’s strengths, needs, and preferences that promote health, wellness, and safety. Work with the staff and managers to continuously optimize individual education around self-management, disease management, and integrated healthcare planning. Ensures that the individual and collateral supports can actively participate

Quality Assurance and Use of Data - Implements the strategic use of data to support the effective delivery of Care Management services. The use of data elements, to include encounter and risk stratification data, will support the implementation of Care Management that is effective, integrated, and well-coordinated. Utilizes metrics and reports to ensure work is allocated timely and appropriately and meets regulatory compliance requirements, individual needs, and performance standards. Ensure the care management program, metrics and performance are consistently meeting established targets. Experience using data and metrics to monitor performance, allocate workloads, and monitor medical and utilization trends. Engages in clinical quality initiatives and manages measures associated with key performance indicators

Maintains a Safe and Healthy Environment- Ensures implementation of all organization health and safety policies and procedures

Financial Performance – works with the Executive Director to execute, monitor, and analyze the program budgets in collaboration with financial services. Ensures operations are in accordance with the approved budget and productivity targets of the team are met

Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with employees, colleagues, payors, and peer network. Fosters open communication, feedback, and helps keep the team focused and progressing toward organization goals. Notifies Executive Director immediately of events that could significantly impact the company. Establishes and maintains strong external relationships, to include providers, payers, and community resources

Ethics & Compliance - Creates and manages an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies. Participates in the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy as needed or requested. Ensures protections of individuals served during investigations. Ensures all external reporting requirements are followed. Ensures adequate follow- through on recommendations from investigation reports. Ensures occurrence and attendance of designated members (staff and service users) to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings

Qualification

Licensed Clinical Social WorkerLicensed MarriageFamily TherapistLicensed Clinical Addiction SpecialistLicensed Clinical Mental Health CounselorCare Management ExperienceBachelor's DegreeMaster's DegreeSupervisory SkillsPerson-Centered ApproachQuality AssuranceCross-functional CollaborationCommunication Skills

Required

A license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession including Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Addiction Specialist (LCAS), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Psychological Associate (LPA)), or a Registered Nurse (RN) license issued by the North Carolina Board of Nursing

Three years of experience providing care management, case management, or care coordination to the population being served

Bachelor's Degree and 5 years of experience providing care management, case management, or care coordination to complex individuals with IDD or TBI, or

Master's Degree in a human services field and 3 years of experience providing care management, case management, or care coordination to complex individuals with IDD or TBI

Direct supervisory responsibility for up to eight care manager staff and up to two extenders per each care manager staff

Complete criminal background check

Name checked in the registries (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)

Drug testing

Education verification and other credentialing based on position requirements

Proof of employment history or references (if required)

Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals