Supervisor II-Care Managers (Hybrid, North Carolina Based)

The Supervisor II -Care Managers provides supervision and oversight to clinically licensed Care Managers, and to Qualified Professional Care Managers, who support health plan members seeking services within Alliance Health Plans catchment area. The Supervisor oversees staff conducting assessment of member needs, linking members to network and community resources, developing and monitoring the implementation of plans of care, and addressing the barriers which may be interfering with member's desired outcomes for a community involved quality life.

This is a full-time hybrid opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Home Office (Morrisville North Carolina) for business meetings as needed. They will also be expected to travel weekly throughout the Alliance catchment areas including Wake, Durham, Orange, Johnston, Harnett as needed for community visits at member's homes and/or provider locations, and other community meetings as needed.

Responsibilities & Duties

Supervise and Develop Staff

• Work with Human Resources and Unit Director to maintain and retain a highly qualified and well-trained workforce.
• Ensure staff are well trained in and comply with all organization and department policies, procedures, business processes. and workflows.
• Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements.
• Actively establish and promote a positive, diverse, and inclusive working environment that builds trust.
• Ensure all staff are treated with respect and dignity
• Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members.
• Work to resolve conflicts and disputes, ensuring that all participants are given a voice.
• Set goals for performance and deadlines in line with organization goals and vision.
• Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development.
• Cultivate and encourage efforts to expand cross-team collaboration and partnership.

Supervise Unit Operations

• Ensure that the activities of the Care Management Department are properly and professionally documented within electronic medical record platform per documentation standards for the Care Management Comprehensive Assessment, Care Plans, Documentation notes, as well as internal and external email communication
• Provide clinical oversight for team, identifying when escalation is necessary or when referral to Integrated Health Consultant or Community Health Worker is warranted and offering supervision on difficult cases
• Ensure adherence to agency and departmental policies and procedures to facilitate the functioning of the Care Management and compliance with agency, state and federal regulations
• Participate in local, regional, and state meetings as required
• Ensure care management activities are focused towards special health care populations.
• Promote efficient person-centered and whole person care management in consideration and compliance with all waiver requirements as neede
• Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout the Alliance Health Plan catchment area
• Provide oversight of case record reviews required by the Quality Management department
• Participate in all related management and clinical team meetings as required
• Develop and/or assist in the development of policies and procedures pertaining to the implementation and sustainability of the Tailored Plan system of services including the Department of Justice settlement
• Analyze and monitor community capacity for service needs, service gaps, and the implementation of evidence based/best practices.
• Ensure appropriate distribution of member assignment to PODs based on program population and risk stratification.
• Oversee the implementation of a system-wide approach to improving the quality and accessibility of services and supports for high risk citizens throughout the catchment area.
• Partner with community stakeholders to assess opportunities and barriers and achieve a seamless and coordinated service delivery syste
• Offer feedback as initiatives are developed

Provide Customer Service

• Maintain working relationships with providers, community agencies, professionals and other stakeholders
• Collaborate with other Alliance Departments to meet consumer and agencies goals

Assure compliance with Alliance Policies and Procedures

• Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures.
• Monitor staff compliance with all Alliance Organizational Policies and Procedures and Care Management Desk Procedures.

Support continuous quality improvement

• Make recommendations to improve department procedures and increase operational efficiency.
• Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout Alliance.

Minimum Education & Experience

Master's degree in Human Services from an accredited college or university and three (3) years post graduate degree experience with at least two years of applicable experience with the population served, including experience with case management. Must be fully or provisionally licensed in the State of North Carolina as a LCSW, LMFT, LCAS, LCMHC, LPA;

Or

Graduation from an accredited nursing school with Registered Nurse license and three (3) years of experience with at least two years of applicable experience with the population served, including experience with case management. Must be licensed as a Registered Nurse in the State of North Carolina.

Knowledge, Skills, & Abilities

• Person Centered Thinking/planning
• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Knowledge of the NC Division of Mental Health, Developmental Disabilities and
• Substance Abuse IPRS Target Populations and Service Array
• Knowledge of 1915(b) and NC Innovations Waiver
• Knowledge of Medicaid and Innovations Service Array
• Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws.
• Knowledge of National Accreditation standards and regulations
• Knowledge of and skilled in the use of Motivational Interviewing
• Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
• Knowledge of Tailored Plan standards and procedures
• Knowledge of using assessments to develop plans of care
• Demonstrated knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
• Strong interpersonal skills
• Conflict management and resolution skills
• Strong written and verbal communication skills
• ISP development training

Salary Range

$75,600-$96,390/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Medical, Dental, Vision, Life, Long Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU