CFSP Care Manager Supervisor

Position SummaryCCNC is contracted with Healthy Blue Care Together to provide statewide care management to support Medicaid enrolled members receiving adoption assistance. Within the Children and Families Specialty Plan (CFSP), Care Management Supervisors are responsible for managing and overseeing assigned care managers and ensuring fidelity to the CFSP Care Management model which includes comprehensive, cost effective, high quality, coordinated physical health, behavioral health, and social services while achieving Care Management program outcomes and process metrics.Essential FunctionsOperationsManage and oversee assigned Care Managers.Ensure staff are well trained in and maintain compliance with all organizational and department goals, policies, procedures and business processesResponsible for ensuring that all Care Plans are complete and in accordance with plan-based policies and protocols, reviewing them for quality control, and providing guidance to care managers on how to meet Members' needs. Ensure care managers provide Trauma Informed Care and recognize the impact of Adverse Childhood Experiences on the CFSP population.Oversee coordination with a multidisciplinary care team collaborating with primary health care professionals, Behavioral Health care professionals, specialty providers and stakeholders.Supplement Care Management team activities as neededEnsure adequate coverage of all tasks and equal workload distribution to Care Management staffServe as a Care Management content expert for the teamUtilize Hospital/Data or Electronic Medical Record system as necessaryAssist with implementation of new workflows, processes, and programs, as necessary to contribute to the success of the organization.Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded.Provide coverage for vacation, sick leave, or care manager vacancy if needed.Quality ImprovementReview Care Management documentation for adherence to quality standardsUse data to drive decisions and plan/implement performance improvement strategies related to Care Management metrics for assigned membersProvide feedback to Care Management Team Members on ways to improve the quality and effectiveness of service deliveryComplete quality performance auditsCollaborate with appropriate leadership and team members to address member complaints and member survey results.Staff ManagementProvide direct supervision of assigned Care Management staffParticipate in recruitment, interviewing, and/or hiringEnsure that new hires receive appropriate orientation and mentorshipConduct performance evaluationsMaintain team accountability by empowering staff to work independently and as a team to meet company and departmental deadlines, objectives, and targetsDevelop and monitor coaching and Performance Improvement Plans (PIP) with team members as neededProvide ongoing staff developmentProvide conflict resolution with staffEnsure team member adherence to policies and proceduresDisseminate communication and facilitate team meetingsApprove time sheets, expense, mileage reimbursements, and other administrative duties as requiredCoordinate coverage when team member is outMaintain a cohesive, integrated, well informed, and educated teamQualificationsMust be a master's-level fully Licensed Clinical Social Worker (LCSW), fully Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Psychological Associate (LPA), fully Licensed Marriage and Family Therapist (LMFT), or licensure as an RN.Must have three (3) years of experience providing care management, case management, or care coordination to individuals served by the child welfare system (either in North Carolina or another state).Supervising care managers overseeing care managers that are conducting in-reach and transition shall also meet the following requirements: Must be knowledgeable about resources, supports, services and opportunities required for safe community livingCCM certification requiredMaintain ability to gain and keep access to Hospital/Data or Electronic Medical Record systemsMaintain a valid driver's license with current auto liability insuranceKnowledge, Skills, and AbilitiesAdvanced knowledge and understanding of office applications, including MS Office (Word, Excel, Power Point, Outlook) is required, as well as internet and digital literacyExcellent communication skills – oral and writtenCritical thinking skills, effective clinical judgment, independent decision-making, change management skills, and problem-solving abilitiesSkilled in establishing rapport with members, providers, and community partners either in person or via telephoneStrong organizational and time management skillsCoaching, team building and supervisory skillsAbility to work independently and function as an integral part of the teamMotivational Interviewing skills and knowledge of adult learning and teaching principlesSensitivity to diversity of cultures, language barriers, health literacy, and educational levelsClinical competence in disease management and Care Management principlesResponds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectivesAbility to shift strategy or approach in response to the demands of a situationPerform all other duties as requestedWorking ConditionsMultiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occurRoutinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of timeMust be able to utilize office equipment, computer, keyboard, and phone with or without assistive devicesRepetitive wrist motion and occasional lifting/carrying of up to 25 poundsTravel using personal vehicle may be required within the assigned area and/or the State