Supervisor, Care Management Coordinator
1 month ago
Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
The Supervisor of Care Management Coordinator is responsible for direct supervision and support of the team responsible for the outreach, intake, member coordination, case tracking, trending and reporting within the Care Management department. This position is accountable for leading and directing the work for the Care Coordination team by monitoring the outreach, member coordination, and communications as outlined in the state and federal regulations and company policies and procedures. The Supervisor provides support and ownership of cases identified as escalated on an as needed basis. This position collaborates with internal departments to ensure timely resolution. This position will be responsible for analyzing, trending, and ensuring assignment of all high risk and complex care management cases. Responsible for the development and maintenance of the care management procedures, workflows, member correspondence, and training as needed, or on an annual basis.
The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.
Evaluates daily reports to ensure individual and team Key Performance Indicators (KPIs), SLAs, Performance Scorecards meet regulatory requirements.
Provide direction to staff for member and provider inquiries, concerns, complaints and coordination needs. Conduct weekly 1:1s with direct reports.
Monitors and organizes staffing coverage to ensure operational effectiveness
Builds and maintains strong working relationships with internal departments and external stakeholders involved in the coordination of care for high risk and complex members.
Development, maintenance and implementation of P&Ps, workflow and training.
Staff performance oversight including case reviews and audits, and monitoring productivity
Lead and participate in team meetings
Audit preparation and providing recommendations for Corrective Action Plans from state regulatory agencies.
Responsible for the daily workflow and leading the work of assigned staff. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.
Performs other duties as assigned.
Duties Continued Education Required Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.Education Preferred Bachelor's DegreeExperienceRequired:
Minimum 0-2 years of experience in a healthcare or managed care setting, case management, authorization processes and/or claims with 1-2 years of lead/supervisory experience.
Preferred:
Previous experience in Managed Care preferably in Customer Service, Care Management, Appeals and Grievances and/or Claims.
Participated in a 2-year management mentoring program
Required:
Ability to manage and organize large volumes of data.
Knowledge of regulatory and accreditation entities and their requirements.
Excellent verbal and written communication skills and interpersonal skills.
Good working knowledge of licensure and regulatory requirements, and accreditation standards.
Ability to work independently.
Ability to solve complex issues and identify creative solutions.
Microsoft Office (Word, Excel, Power Point, Access, and Visio).
Preferred:
Knowledge of L.A. Care core computer system
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.
Preferred:
Motivation Interviewing
Trauma Informed Care
Physical Requirements LightAdditional InformationSalary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
-
Supervisor, Care Management Coordinator
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $60, Min.) - $75, Mid.) - $91, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Supervisor, Care Management Coordinator
2 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Enhanced Care Management Coordinator II
4 days ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $50, Min.) - $62, Mid.) - $75, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Enhanced Care Management Coordinator II
3 days ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
PNO Contract Coordinator
3 weeks ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSummaryUnder the general direction of the Provider Network Operations (PNO) – Contracting Supervisor, the PNO Contract Coordinator is responsible for the managing and supporting the administrative and operational aspects of the PNO Contracting Team. This includes but is not limited to pre and post negotiation management,...
-
Coordinator, Health Plan Benefits
4 weeks ago
Los Angeles, United States MedPOINT Management Full timeJob Description Job Description Summary The Coordinator, Benefits is responsible for supporting the Benefits team through the interpretation of health plan benefits to effectively respond to member, provider, and internal inquires. Reporting to the Supervisor, Health Plan Benefits, the Coordinator will be responsible for benefit coverage verification and...
-
Coordinator, Health Plan Benefits
1 month ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSummaryThe Coordinator, Benefits is responsible for supporting the Benefits team through the interpretation of health plan benefits to effectively respond to member, provider, and internal inquires. Reporting to the Supervisor, Health Plan Benefits, the Coordinator will be responsible for benefit coverage verification and...
-
Compliance Coordinator
4 weeks ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSummaryMedPOINT Management is committed to conducting its business and operations in accordance with the highest legal and ethical standards. Our Code of Conduct sets forth our expectations of management, employees, and contractors to act in accordance with applicable laws and Company policy. MedPOINT’s Compliance Department...
-
Nurse Supervisor
1 month ago
Los Angeles, United States Kailani Care Full timeJob DescriptionJob DescriptionSalary: 90K - 110K, annualKailani Care is looking for a proactive and independent Nurse Supervisor, looking to grow with a company and be an integral part of creating the culture and foundation. The Nurse Supervisor will be responsible for building and maximizing referral potentials, help in developing/implementing marketing...
-
Supervisor, Case Manager RN
3 weeks ago
Los Angeles, United States North American Staffing Group, Inc. Full timeJob DescriptionJob DescriptionDirect Hire Supervisor Case Manager, RN/LVN (90% Remote 10% Field) So. California Residence Only. Minimum Education: Bachelor’s Degree of Science in Nursing and other related fields or higher preferred.Minimum Experience: Two plus (2+) years of Case management or other similar programs experience in managed care required.(3+)...
-
Supervisor, Utilization Management RN
1 month ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...
-
Supervisor, Utilization Management RN
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $102, Min.) - $132, Mid.) - $163, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Patient Care Coordinator
1 month ago
Los Angeles, California, United States UCLA Health Full timeThis will be a full time 100% career position in the Department of Neurosurgery, Pediatric Physiatry Program . The Patient Care Coordinator will act in a diversified position within the Department of Neurosurgery in the David Geffen School of Medicine. Duties are anticipated to change on a daily basis contingent on which Neurosurgeons office is in the...
-
Facility Site Review Coordinator III
3 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Facility Site Review Coordinator III
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $55, Min.) - $69, Mid.) - $82, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Patient Care Coordinator
1 month ago
Los Angeles, California, United States UCLA Health Full timeThis will be a full time 100% career position in the Department of Neurosurgery, Spine Program. The Patient Care Coordinator will act in a diversified position within the Department of Neurosurgery in the David Geffen School of Medicine. This individual will act as a central key administrative assistant who will rotate and fulfill administrative duties,...
-
Los Angeles, United States Alliance Property Management, Inc Full timeJob DescriptionJob DescriptionPrivate property management company seeks an experienced, qualified, and motivated individual for its maintenance department. This is an in-office administrative position (not a handyman or on-site manager position) but maintenance knowledge is a plus. Some field work may be required.Our candidate has experience with apartment...
-
Rn Supervisor
7 hours ago
Los Angeles, United States St. John of God Retirement and Care Center Full time**Job Summary**: Under the direction and supervision of the Director of Nursing, the RN Supervisor is responsible for the comprehensive nursing care of residents in the facility, and for the supervision and education of nursing personnel who provide care to the residents on their tour of duty. Must be capable in areas of STJOG Nursing Dept. Software use and...
-
Manager Care Coordination Social Work
2 weeks ago
Los Angeles, United States CommonSpirit Health Full timeOverview: Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the areas largest and most comprehensive medical centers. Dedicated to the communitys well-being our staff and...
-
RN Clinical Supervisor
2 weeks ago
Los Angeles, United States Neogen Care Full timeJob DescriptionJob Description* Join Our Team of Highly Talented and Committed Clinical Professionals *This is an exciting opportunity for an upwardly achieving Registered Nurse with management and supervisory experience to take the next level in their career. Neogen Care is a will established Home Health Care agency with patients throughout the California...
