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I/DD Care Management Supervisor (Mobile/Remote)

Remote: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)

Partners Health Management logo
Partners Health Management SME https://www.partnersbhm.org/
201 - 500 Employees
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Job description

 

 **This is a mobile position which will work primarily out in the assigned communities.**


Competitive Compensation & Benefits Package!  

Position eligible for – 

  • Annual incentive bonus plan
  • Medical, dental, and vision insurance with low deductible/low cost health plan
  • Generous vacation and sick time accrual
  • 12 paid holidays
  • State Retirement (pension plan)
  • 401(k) Plan with employer match
  • Company paid life and disability insurance
  • Wellness Programs
  • Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details. 

 

Location:  Available for any of Partners' NC locations; Mobile/Remote Position

Projected Hiring Range:  Depending on Experience

Closing Date:  Open Until Filled


Primary Purpose of Position:  The I/DD Care Management Supervisor manages and supervises a team of Intellectual and/or Developmental Disability Care Management team members to ensure coverage for each area assigned to the team. This position is responsible for management duties related to the Care Management Team to ensure comprehensive assessment, care management and monitoring to individuals having a primary I/DD need, which may include a secondary physical health or behavioral health need.  Travel is an essential function of this position.  


Role and Responsibilities:   

Responsibilities of the I/DD Care Management Supervisor include, but are not limited to, the following:  

Quality Care Planning and Comprehensive Care Management Support: 

  • Ensure that all Individual Support Plans (ISPs) are complete, review them for quality control, and provide guidance to care managers on how to meet members’ needs. 
  • Provide enhanced support and assistance for complex clinical situations (e.g., complex placement or discharge planning, etc.)  
  • Provide enhanced oversight of state-funded care management to ensure that this support is limited to recipients that meet identified triggers, that all timelines are met and that duration of care management does not exceed 90 days 
  • Ensure that Care Managers proactively utilize available resources to minimize risk of crisis events and improve member health/outcomes (e.g., accessing clinical consultants to provide subject matter expert advice to the care team, utilizing resources available through NC START, initiating high risk/complex case staffings, etc.) 
  • Promote access and use of assistive technologies to support individuals with I/DD and TBI 
  • Ensure that team members have a strong understanding of home and community-based setting requirements and actively monitor for and promote same 
  • Promote use of person-centered tools to support active discovery and quality planning 
  • Provide coverage for vacation and sick leave (Supervisors cannot have a caseload but will provide coverage for vacation and sick leave) 
  • Assist Care Manager, as needed, in collaboration with providers, hospitals, physicians and other care team members to develop and implement quality plans and coordinate activities 
  • Promote problem-solving and goal-oriented partnership with individuals/legally responsible persons, providers, etc.  
  • Ensure that Care Managers understand and utilize NCCARE360 
  • Ensure that team members actively educate members/recipients about Registry of Unmet Needs and refer as applicable 

Support Quality Care Coordination for Members Not Receiving Tailored Care Management: 

  • Promote effective collaboration with CCNC and other entities providing Care Management to members (e.g. skilled nursing facilities, CAP/DA, CAP/C, CMARC, etc), ensuring responsiveness to care coordination needs related to access to IDD/TBI/BH services or transitional care 
  • Ensure participation of team members in weekly conference with CCNC, as needed, to share information on high-risk members, including members with a behavioral health transitional care need and members with special health care needs, who are receiving care coordination and care management from both entities or require referrals 
  • Ensure that the results of the any assessments completed, the member’s person-centered plan, and the member’s ISP (to the extent one exists) are shared with entity providing care management 
  • Ensure notification to the member’s care manager that the member is undergoing a transition and engage the member’s assigned care manager to assist with transitioning the member into the community, including in the development of the ninety (90) day post-discharge transition plan to the extent there are items within the care manager’s scope.  
  • Ensure timely response to identified care coordination needs. 

Supervision / Performance and Project Management:  

  • Proactively monitor performance of team members, providing appropriate and timely support and corrective action for any team member with below acceptable performance  
  • Provide and document supervision/coaching in adherence with Supervision/Coaching Protocol 
  • Objectively assess quality of case record documentation, achieving inter-rater reliability score of ≥85% on comprehensive record review 
  • Monitor contact frequency and contact types, ensuring that team members meet contact requirements per acuity tier and that in-person contacts are a high priority 
  • Assess and address training needs of team members 
  • Ensure timely and effective communication between Care Manager and Care Management Extenders, with Care Manager maintaining lead role and providing direction/guidance to Care Management Extender specific to member 
  • Ensure that members are accurately identified as members of special or priority populations and that such designations are updated as applicable 
  • Ensure that members are accurately identified as members of special or priority populations (e.g., LTSS, TBI, etc) and that such designations are updated as applicable 
  • Ensure that assigned projects (e.g., National Core Indicators, Budget Corrections, MIE Survey Follow-Up, annual performance reviews, etc) are completed by established due dates for self and team members  
  • Ensure strategic deployment and case assignment, to minimize required travel time and utilize gifts/strengths of team members 

Other:  

  • Ensure that all concerns or grievances are reported and addressed 
  • Ensure that critical incidents and quality of care concerns are appropriately reported (e.g. reports to internal departments, DSS, DSHR, etc.)  
  • Support member’s right to choose Tailored Care Management entity, to request change in TCM entity or Care Manager  

 

Knowledge, Skills and Abilities:   

  • Comprehensive knowledge of the assessment and treatment of I/DD needs, with or without co-occurring physical health or behavioral health needs 
  • Considerable knowledge of the MH/SU/IDD service array provided through the network of the LME/MCO’s providers 
  • Working knowledge of laws, regulations, and program practices/requirements impacting members and families 
  • Exceptional leadership and interpersonal skills; highly effective communication ability 
  • Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) 
  • Excellent problem solving, negotiation and conflict resolution skills 
  • Propensity to make prompt, independent decisions based upon relevant facts and established processes 
  • Detail oriented, able to independently organize multiple tasks and priorities, and to effectively complete reporting measures within assigned timeframes 
  • Ability to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries 
  • Ability to assess an individual’s health needs, consult with subject matter experts, devise a comprehensive whole person health Individual Service Plan, and monitor its implementation.   

 

Education/Experience Required:   

  • Bachelor’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN; and five (5) years of experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI; OR  
  • A Master’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area; and three (3) years of experience providing care management, case management, or care  coordination to complex individuals with I/DD or TBI;  

AND 

  • Must reside in North Carolina 
  • Must have ability to travel regularly as needed to perform job duties 

Education/Experience Preferred:    

  • Minimum of 2 years prior supervisory experience highly preferred 
  • Experience working with individuals with co-occurring physical health and/or behavioral health needs preferred. 
  • Minimum of two years of prior long-term support services and/or Home and Community Based Services coordination experience preferred. 

Licensure/Certification Requirements:   

If a Registered Nurse (RN), must be licensed in North Carolina. 




Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Supervision
  • Leadership
  • Negotiation
  • Microsoft Office
  • Social Skills
  • Decision Making
  • Time Management
  • Communication
  • Problem Solving

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