MHSU Care Management Supervisor-Mobile/Remote (NC)

Position eligible for – 

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs
• Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details. 

Office Location:  Mobile/Remote position; Available for any of Partners' NC locations

Projected Hiring Range:  Depending on Experience

Closing Date:   Open Until Filled

Primary Purpose of 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. 

Role and 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

Knowledge, Skills and Abilities:  

• Comprehensive knowledge of assessment and treatment of MHSU needs, with or without co-occurring I/DD needs
• Considerable knowledge of the MH/SU/IDD service array provided through the network of the LME/MCO’s providers
• Working knowledge of laws, regulations, and program practices/requirements impacting members and families
• Exceptional leadership and interpersonal skills; highly effective communication ability
• Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.)
• Excellent problem solving, negotiation and conflict resolution skills
• Propensity to make prompt, independent decisions based upon relevant facts and established processes
• Detail oriented, able to independently organize multiple tasks and priorities, and to effectively complete reporting measures within assigned timeframes

Education/Experience Required:  

1. 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 
2. Three (3) years of experience providing care management, case management, or care coordination to the population being served of a supervising care manager.

Other requirements:  

• Must reside in North Carolina.
• Must have ability to travel as needed to perform the job duties

Education/Experience Preferred: Above Requirements 

Licensure/Certification 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.