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Clinical Operations Supervisor

2 months ago

Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time
Job Overview

The Clinical Operations Supervisor is tasked with overseeing the daily functions of clinical teams to ensure compliance with care standards and state regulations.

Key Responsibilities:

  • Fosters a robust team environment through effective recruitment, training, and performance evaluation.
  • Develops policies and procedures to enhance the efficiency of the Clinical Department.
  • Conducts clinical quality audits and provides constructive feedback.
  • Monitors team productivity to ensure adherence to established standards.
  • Offers regular supervision and maintains documentation in line with industry standards.
  • Engages in meetings to assess and optimize services and resources for member needs.
  • Facilitates access for Clinical Care Managers to provider sites for effective member engagement.
  • Accompanies Clinical Care Managers and Supervisors in the community to provide ongoing support and feedback.
  • Conducts case consultations with staff to enhance clinical outcomes.
  • Collaborates with Physician Advisors for high-risk member consultations.
  • Proactively manages crisis situations as they arise.
  • Coordinates with Clinical Care Management Coordinators across teams to ensure seamless care management.
  • Works with the Quality Management Department to monitor provider stability and address any issues.
  • Maintains effective communication with other departments to ensure operational efficiency.
  • Ensures critical information regarding members and providers is communicated effectively.
  • Analyzes data related to member services and clinical operations to inform interventions.
  • Ensures that team members are knowledgeable about evidence-based practices and integrates these discussions into supervision.
  • Utilizes data-driven approaches for decision-making.
  • Models exceptional customer service in interactions with members and providers.
  • Handles on-call responsibilities as assigned.
  • Performs additional duties as required.

Team-Specific Duties:

  • Develops and manages clinical specialty programs.
  • Designs and enhances care management strategies for team growth.
  • Establishes partnerships with health providers to improve communication and collaboration.
  • Works with community organizations to ensure comprehensive, evidence-based care for members.
  • Focuses on targeted interventions to reduce readmissions and service usage.
  • Utilizes data to identify members with specific behavioral health needs and ensures they receive appropriate support.
  • Collaborates with the Integrated Care Plan team to promote holistic care coordination.

Qualifications:

  • Education: Master’s degree in Social Work or a related field.
  • Licensure: Preferred license; must progress towards licensure within a specified timeframe. PA Child Abuse Clearance is mandatory.
  • Experience: Minimum of 3 years post-graduate experience, including at least 1 year in a supervisory role.

Required Skills:

  • Excellent verbal and written communication abilities.
  • Proficient in analyzing utilization reports.
  • Knowledge of mental health and substance abuse interventions.
  • Strong problem-solving capabilities.
  • Proficient in MS Office and typing.
  • Able to work effectively in team environments.
  • Strong organizational skills.
  • Compliant with HIPAA regulations.
  • Demonstrated clinical skills.
  • Ability to provide supervision for complex clinical cases.
  • Critical thinking and problem-solving skills.

Leadership Attributes:

  • Strategic Vision: Aligns current activities with long-term organizational goals and implements innovative strategies.
  • Leadership: Guides efforts to improve programs and services, influencing others effectively.
  • Talent Development: Recognizes the importance of hiring and developing high-quality talent through ongoing performance management.

Work Environment:

  • Travel may be required, including overnight stays.
  • Physical activities include walking, standing, and using office equipment.
  • Work is typically performed in well-lit and ventilated environments.
  • Must adapt to changing job demands.

Equal Opportunity Employment:

We are committed to fostering a diverse and inclusive workplace. We do not discriminate based on any protected characteristic.