Supervisor, Clinical Care Management - R13317

Commonwealth Care Alliance® (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care Options and One Care programs and its care delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care®, which yields improved quality outcomes and lower costs of care.

Job Summary

The Supervisor, 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.

Essential Functions

• 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.
• In support of the Strategic Plan, serve as the technical and content support to align programs/processes.
• 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 annual and as needed.
• Perform any other job related duties as requested.
  
  

Education And Experience

• Associates 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
  
  

Competencies, Knowledge and 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-past environment
• Ability to work independently and within a team environment
• Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio
  
  

Licensure and Certification:

• 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. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
• CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
  
  

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Reside in the same territory they are 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 travel to different locations, including homes, offices, or other public settings, to perform work duties
  
  

Compensation Range

$72,200.00 - $115,500.00 CareSource takes into consideration 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 when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type

Salary

Competencies

• Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
  
  

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.