CFSP Care Manager Supervisor

Position Summary

CCNC 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 Functions

Operations Manage and oversee assigned Care Managers. Ensure staff are well trained in and maintain compliance with all organizational and department goals, policies, procedures and business processes Responsible 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 needed Ensure adequate coverage of all tasks and equal workload distribution to Care Management staff Serve as a Care Management content expert for the team Utilize Hospital/Data or Electronic Medical Record system as necessary Assist 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 Improvement Review Care Management documentation for adherence to quality standards Use data to drive decisions and plan/implement performance improvement strategies related to Care Management metrics for assigned members Provide feedback to Care Management Team Members on ways to improve the quality and effectiveness of service delivery Complete quality performance audits Collaborate with appropriate leadership and team members to address member complaints and member survey results.

Staff Management Provide direct supervision of assigned Care Management staff Participate in recruitment, interviewing, and/or hiring Ensure that new hires receive appropriate orientation and mentorship Conduct performance evaluations Maintain team accountability by empowering staff to work independently and as a team to meet company and departmental deadlines, objectives, and targets Develop and monitor coaching and Performance Improvement Plans (PIP) with team members as needed Provide ongoing staff development Provide conflict resolution with staff Ensure…

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