Note: The job is a remote job and is open to candidates in USA. CareSource is a healthcare organization providing care management services to members. The Supervisor, Clinical Care Management provides frontline leadership, coaching, and operational support to clinical care management staff coordinating RN and behavioral health services. The role oversees team performance, policy implementation, documentation, member support, community resource coordination, and service quality.
Responsibilities
- 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
Skills
- 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
- 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
- Active, unrestricted State Licensed Practical Nurse (LPN), Registered Nurse (RN) license, Social Work license, or Counselor license required
- Must have valid driver's license, vehicle and verifiable insurance
- 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
- Two (2) years of managed care and/or case management experience is preferred
- Previous supervisory experience is preferred
- Case Management certification preferred
Benefits
- Remote work arrangement
- You may qualify for a bonus tied to company and individual performance
- A substantial and comprehensive total rewards package
Company Overview
Company H1B Sponsorship