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Case Management Supervisor
1 month ago
Join Santa Clara Family Health Plan as a Case Management Supervisor and take on a challenging role that requires strong leadership and case management skills. As a key member of our Health Services team, you will be responsible for overseeing daily operations, developing and implementing new programs, and coordinating case management referrals.
Key Responsibilities:- Develop and implement case management workflows in compliance with regulatory requirements and SCFHP policies.
- Monitor and improve quality of case management processes, including timely completion of Health Risk Assessments and Individual Care Plans.
- Collaborate with the Manager of Case Management on audits and corrective action plans.
- Ensure integration of Case Management operations with other internal and external teams.
- Resolve complex issues and escalate to management as needed.
- Establish effective relationships with staff, members, providers, and external partners.
- Recruit, interview, and hire staff.
- Develop a high-performing department culture and motivate employees.
- Train and mentor staff, and initiate retraining as needed.
- Set goals, assign work, and direct staff to achieve objectives.
- Appraise performance, reward, and discipline staff as needed.
- Unrestricted professional clinical licensure in California.
- Minimum two years of experience in a supervisory or lead capacity in case management or utilization management.
- Current working knowledge of Medicare and MediCal regulations and NCQA Population Health standards.
- CMSA Certification in Case Management (desired).
- Valid California driver's license and acceptable driving record (or ability to use alternative transportation).
- Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills (desired).
- Mobility: regular bending, reaching, and sitting/standing for extended periods.
- Lifting: regularly lift and carry files and supplies up to 5 pounds.
- Visual: ability to read information and perform close-up work.
- Dexterity: regular use of hands, wrists, and finger movements.
- Hearing/Talking: ability to hear and talk to exchange information.
