Supervisor of Case Management

Job Type: Full-time

Location: Bakersfield, CA 93309 (Onsite)

Classification: Full-Time (Non-Exempt)

Benefits:

• Medical
• Dental
• Vision
• Simple IRA Plan
• Employer Paid Life Insurance
• Employee Assistance Program

Compensation:

The initial pay range for this position upon employment commencement is expected to be between $85,000.00 and $145,000.00 annually, translating to $40.87 to $67.71 per hour. However, the base pay offered may be adjusted based on individualized factors, including the candidate's education, certifications, skills, and experience. We value exceptional talent and strive to provide competitive compensation packages tailored to attract and retain top candidates like yourself.

Position Summary:

The Supervisor of Case Management, under the supervision of the Director of Clinical Programs, is responsible for the day-to-day operations of the Enhanced Care Management (ECM) Program, including the oversight of case management activities, program compliance, and staff. The ECM Program addresses the clinical and non-clinical needs of members with the most complex medical and social needs through systematic coordination of services and comprehensive care management. ECM is intended to service those with chronic health conditions, are homeless or at-risk, with high hospital admissions, substance abuse, and/or behavioral health needs. This position requires a leader with strong interpersonal skills, critical thinking, building skills, ability to effectively lead a high-performing team and foster continuous learning.

Job Duties and Responsibilities:

• Supervises day-to-day case management operations and assigned staff.
• Meets and facilitates meetings with ECM teams to provide updates and develop strategies for program quality assurance and quality improvement.
• Assists in the hiring and onboarding of new staff, managing employee relations and disciplinary actions.
• Provides oversight of case management activities and provides prompt and actionable feedback to subordinates.
• Conducts regular staff meetings, including communication and training of program policies and procedures, outcomes and evaluations, and compliance matters.
• Manages and monitor case assignments and ECM staff caseload management, including timely case follow-up based on acuity and care plan needs.
• Interprets and explains program requirements and policies to staff, clients, and the community.
• Works with leadership, providers, and managed care to develop and implement patient focused care plans for clients with chronic conditions.
• Conducts regular reviews of patient's chart to ensure quality services are provided and documented by Lead Care Managers consistently and accurately.
• Provides and ensures all staff receive all new hire and annual trainings on time.
• Responds to patient inquiries and refer members to other departments, social services, or support services as needed.
• Provides supervision, training, resources, monitoring and mentoring to the clinical and non-clinical staff within the ECM Program per departmental policies and health plan requirements.
• Perform case audits to verify consistency and effectiveness of compliance with standards of care, documentation, and provision of services.
• Collaborate with other disciplines, oversees the development, implementation, monitoring, and modification of the plan of care for the member through a collaborative and interdisciplinary team approach.
• Facilitates interdisciplinary care meetings and assist in identifying opportunities for care.
• Provide education to Case Management staff related to member assessment completion, care plan development and follow-up, and other core ECM services, according to ECM policy guidelines.
• Utilizes reports for process and productivity improvements.
• Maintains time and attendance for designated employees.
• Facilitates and participates in audit reviews and corrective action plan development and implementation.
• Establishes orientation and training plans for Case Management staff to promote consistency in program delivery.
• Manages and participates in new hire processes and employee evaluation processes.
• Collaborates with Medical Management Director and leadership team regarding service objectives.
• Performs other duties and projects, as assigned.

Requirements:

Qualifications:

• Licensure: Current California RN license required.
• A bachelor's degree in nursing from an accredited school of nursing preferred.
• Minimum of two (2) years RN experience.

Skills and Abilities:

• Demonstrate success in motivating and engaging employees to achieve business and clinical program successes.
• Demonstrate responsibility for own professional growth.
• Ability to maintain a high level of accuracy and attention to detail to perform each essential duty satisfactorily.
• Ability to read and interpret documents such as policy guides, operating and maintenance instructions, and policy and procedure manuals
• Ability to write routine reports and correspondence.
• Ability to communicate effectively with other employees, health plan representative, clients, vendors, and customers.
• Ability to apply concepts of basic mathematics and fundamental accounting principles.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems and exercise sound judgment involving several concrete variables in standardized situations.
• To perform this job successfully, an individual must have basic knowledge and skills using Microsoft Office including Word, Excel, and PowerPoint software; Internet software; Database software.
• Knowledge of: Current principles, techniques and procedures used in professional nursing; medical terminology and patient care routine appropriate to clinical setting; community resources available to provide patient care and follow-up; federal, state and local laws and regulations governing professional aspects of nursing.
• Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies.
• Understanding of and sensitivity to multi-cultural community.
• Understanding and knowledge of self-management philosophies and practices, especially as they relate to chronic medical conditions.
• Proficiency in data interpretation and demonstrates the ability to learn new information systems and software programs.
• Required attention to detail, analytical thinking skills, excellent technical, interpersonal, and oral communication skills.
• Must be able to work as a member of a highly autonomous team, executing job duties and as an independent team.
• Experience in but not limited to Medicare and Medi-Cal (CMS) environment preferred.
• Strong attention to detail and ability to be accurate, thorough, and persistent in problem-solving and task completion.
• Excellent verbal and written communication skills, with the ability to communicate effectively with all levels of the organization and members.
• Proficiency in creating professional documents with proper grammar and punctuation.
• Ability to maintain professionalism and adapt to a changing environment.
• Proficient in the use of common office technology, including electronic Case Management systems

Salary Description:

Hourly Rate: $52-$60/ $108,160-124,800 yearly