L.A. Care Health Plan · 16 hours ago
Supervisor, Care Management
Los Angeles, CA
Full-time
Onsite
Senior Level
$102K/yr - $163K/yr
5+ years expL.A. Care Health Plan is the nation’s largest publicly operated health plan, dedicated to providing health coverage to low-income residents of Los Angeles County. The Supervisor of Care Management is responsible for overseeing the daily activities of the care management clinical staff, ensuring optimal efficiency and compliance, while also assisting in staff training and development. This role involves fostering a productive team environment and maintaining high standards of care for members.
FitnessGovernmentHealth Care
Responsibilities
Supervises the day to day activities of Case management staff, including but not limited to: Staffing, assignment distributions and time off requests; Monitoring of staff's performance including productivity and compliance with regulatory requirements; Handling all questions/issues raised by staff and knowledge to know when to escalate to the manager
Recommends process improvement measures to achieve department's performance measures outcomes and goals
Plans and directs CM activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members and Interdisciplinary Care Team
Functions as supervisor in assigned line of business and responsible for identifying the training needs including but not limited to assisting in the development of programs, training materials, orientation checklist, and competence checklist necessary to meet educational needs
Responsible raining new staff and cross-training in specified line of business
Developing tools and workflows to assist in training and development of staff
Completes evaluation of staff and provides recommendation in the hiring and termination process of staff
Monitor staff's performance, identifies and communicates areas that needs performance management to ensure employee compliance with regulatory requirements, policies and procedures
Develop and maintain positive working relationships with all business partners to ensure optimum member care and provider satisfaction
Serves as a leader and role model as well as technical and informational resource for staff and peers
Foster a culture that encourages employee contribution to ensure that the department maintains an environment in which quality flourishes and recommends resources to reach new standards
Maintain all assigned reporting responsibilities
Conducts regular audit activity via department's performance reporting standards to maintain quality care of members and compliance to regulatory requirements
Assures the accuracy of CM reports and department proficiency in maintaining regulatory standards and time frames
Provides reports to manager to identify trends and improve work flow process
Ensure department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations relating to protection of personal history information (PHI)
Perform other duties as assigned
Qualification
Required
Master's degree in Social Work OR Associates Degree in Nursing in Social Work for Licensed Clinical Social Workers
Associate's Degree in Nursing for Registered Nurses
Minimum of 5 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments with at least 2 years of leading a process, program or staff or supervisory/management experience
Knowledge of state, federal and regulatory requirements in Care Management
Strong verbal and written communication skills
Computer literacy with proficiency with Microsoft Word, Excel, etc. and core departmental system
Excellent organizational, time management and interpersonal skills
Must be detailed oriented and an enthusiastic team player
Ability to work independently and with internal and external customers
Ability to solve complex issues and identify and implement creative solutions
Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestricted California License
Preferred
Bachelor's Degree in Nursing
Certified Case Manager (CCM)
Benefits
Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)
Company
L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A.
1001-5000 employees
H1B Sponsorship
L.A. Care Health Plan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
2021 (3)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Melanie Rainer
Chief Strategy and Transformation Officer
Recent News
2026-01-17
MarketScreener
2025-08-27
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