We are currently seeking a Supervisor I Care Manager Waiver to serve members in Wake county.

This position will allow the successful candidate the ability to work remote certain days of the week. The employee will also be required to come into the office on certain days as approved by their supervisor. This position will require travel within the communities Alliance serves.

The Supervisor I-Care Manager provides supervision and oversight to non-licensed Care Managers who support health plan members seeking services within Alliance Health Plans catchment area.   The Supervisor oversees staff conducting assessment of member needs, linking members to network and community resources, developing and monitoring the implementation of plans of care, and addressing the barriers which may be interfering with member’s desired outcomes for a community involved quality life.

Responsbilities & Duties

Supervise and Develop Staff

• Work with Human Resources and Unit Director to maintain and retain a highly qualified and well-trained workforce 
• Ensure staff are well trained in and comply with all organization and department policies, procedures, business processes, and workflows for care managers working with BH/IDD/TBI and/or 1915i services
• Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements
• Actively establish and promote a positive, diverse, and inclusive working environment that builds trust  
• Ensure all staff are treated with respect and dignity
• Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
• Work to resolve conflicts and disputes, ensuring that all participants are given a voice
• Set goals for performance and deadlines in line with organization goals and vision
• Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
• Cultivate and encourage efforts to expand cross-team collaboration and partnership

Supervise Unit Operations

• Ensure that the activities of the Care Management Department are properly and professionally documented within electronic medical record platform per documentation standards for the Care Management Comprehensive Assessment, Care Plans, Documentation notes, quality of ISPs submitted to UM for accuracy and completeness, as well as internal and external email communication
• Provide administrative oversight for team, identifying when escalation is necessary or when referral to Integrated Health Consultant or Community Health Worker is warranted and offering supervision on difficult cases
• Ensure adherence to agency and departmental policies and procedures to facilitate the functioning of the Care Management and compliance with agency, state and federal regulations
• Participate in local, regional, and state meetings as required
• Ensure care management activities are focused towards special health care populations 
• Promote efficient person-centered and whole person care management in compliance with all waiver requirements
• Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout the Alliance Health Plan catchment area
• Provide oversight of case record reviews required by the Quality Management department
• Participate in all related management and clinical team meetings as required
• Develop and/or assist in the development of policies and procedures pertaining to the implementation and sustainability of the Tailored Plan system of services including the Department of Justice settlement
• Analyze and monitor community capacity for service needs, service gaps, and the implementation of evidence based/best practices. 
• Ensure appropriate distribution of member assignment to PODs based on program population and risk stratification. 
• Oversee the implementation of a system-wide approach to improving the quality and accessibility of services and supports for high risk citizens throughout the catchment area.
• Partner with community stakeholders to assess opportunities and barriers and achieve a seamless and coordinated service delivery system
• Offer feedback as initiatives are developed 
• Provide supervision or co-monitoring of filed activity for care managers to improve processes, workflows, monitoring and efficiency of field services

Provide Customer Service

• Maintain working relationships with providers, community agencies, professionals and other stakeholders
• Collaborate with other Alliance Departments to meet consumer and agencies goals

Assure compliance with Alliance Policies and Procedures

• Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures.
• Monitor staff compliance with all Alliance Organizational Policies and Procedures and Care Management Desk Procedures.

Support continuous quality improvement

• Make recommendations to improve department procedures and increase operational efficiency.
• Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout Alliance.

Minimum Requirements

Education & Experience

Bachelor’s degree from an accredited college or university and five (5) years of post-degree experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI

Or

Master’s degree from an accredited college or university and three (3) years of post-degree experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI

North Carolina residency required.

Preferred: Experience with managed care and population health management and experience working for a provider serving persons with LTS support needs preferred. NACCM, NADD and/or CBIS certification preferred. 

Knowledge, Skills, & Abilities

• Person Centered Thinking/planning
• Knowledge of Medicaid basic, enhanced MH/SUD, and waiver benefits plans
• Knowledge of the NC Division of Mental Health, Developmental Disabilities and 
• Substance Abuse IPRS Target Populations and Service Array
• Knowledge of 1915(b) and NC Innovations Waiver
• Knowledge of Medicaid and Innovations Service Array
• Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws.
• Knowledge of National Accreditation standards and regulations
• Knowledge of and skilled in the use of Motivational Interviewing
• Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
• Knowledge of Tailored Plan standards and procedures
• Knowledge of using assessments to develop plans of care
• Demonstrated knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
• Strong interpersonal  skills 
• Conflict management and resolution skills
• Strong written and verbal communication skills
• ISP development training

Salary Range

$62,100.00to $103,500.00/Anually 

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

 An excellent fringe benefit package accompanies the salary, which includes: 

• Medical, Dental, Vision, Life, Long and Short Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility