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Supervisor, Behavioral Health & Care Management Support Services, LCSW

Company: IEHP
Location: Alta Loma
Posted on: May 3, 2021

Job Description:

Position Summary/PositionUnder the direction of the Behavioral Health & Care Management (BH&CM) leadership the Supervisor, BH&CM Support Services is responsible for assisting in the program development and implementation of the care management operations in BH&CM Support Services. The Supervisor is responsible for overseeing daily operations of care management, coordination of care, and continuity of care for IEHP members utilizing the Housing Program, Long-Term Services and Supports, or receiving County wrap around services. In addition, the Supervisor provides oversight and supervision of the integrated services for IEHP members with complex conditions, as well as administrative and operational oversight. This position engages the care team members, working collaboratively to build and maintain high levels of engagement, as well as excellent member experience.Major Functions (Duties and Responsibilities)1. Develop effective relationships with co-workers, direct reports, and community partners, modeling excellent interpersonal skills and collaboration in working toward job duties and goals.2. Model the importance of member experience and engagement and engage with other leaders in BH&CM and at IEHP in developing and implementing member and Team Member experience improvement activities.3. Communicate, formally and informally, the nature and importance of Support Services in overall health to the IEHP BH&CM department, as well as the larger organization. Engage with other IEHP leaders and community partners in developing and implementing large scale public health education on Support Services.4. Work closely with the BH&CM leadership to develop effective Support Services care management principles, processes, and workflows as well as monitor care management services to ensure compliance with all IEHP, state and federal regulatory requirements.5. Provide leadership, support, and administrative supervision of Team Members, to ensure delivery of high quality, cost effective services to members.6. Proactively recognize problematic or risk areas and help develop effective and efficient solutions in conjunction with BH&CM.7. Collaborates with BH&CM providers, IEHP members and other departments regarding Support Services concerns.8. Professionally and collaboratively Interface with Utilization Management Department, Member Services, and Care Management Department to resolve issues and establish workflow processes to ensure delivery of high-quality services.9. Become proficient in all electronic medical management systems (e.g. MedHok, HSP, Super Search and Web Portal) to assist in training of new staff members.10. Professionally represent the department at selected IEHP meetings including external events as necessary.11.Collaborate with BH Supervisors of Integrated Teams (Inpatient, Special Pops, Health Homes) on the tracking of HEDIS measures and implement interventions to meet goals.12. Provide exemplary leadership for all assigned BH&CM team members ensuring team members are given every opportunity to succeed in their positions and are supervised in accordance with Department and Human Resources (HR) policies.13. Identify deficits within the department and actively find solutions, including but not limited to providing trainings14. Provide supervision as necessary, consulting on high-risk cases and providing direction to the BH&CM Department.15. Review and update departmental policies and procedures as necessary.16. Ability to evaluate current programs for efficiency and program outcomes by analyzing specific data and providing suggested improvements.17. Refers appropriately to and maximizes use of community services, support programs, internal/external resources available to Members including Embedded Case Management, Health Homes, Palliative Medicine, Behavioral Health, Transplant programs, pain management, Housing services, Long-Term Services and Supports, etc.18. Ability to perform comprehensive assessment of patients and create a care plan to address medical, psychosocial and financial concerns or issues facing the member.19. Collaborates with embedded BH&CM Team, Pharmacists, and Interdisciplinary teams.20. Solves complex problems and/or conducts complex analyses impacting transitions/readmissions.21. Assesses the effectiveness and quality of services provided related to functional, and financial impact, and outcomes.22. Facilitates case conferences to ensure safe transitions of care as Member moves through various stages of treatment.23. Educates and supports Members to assist them in the best decision making for their health and wellness.Supervisory ResponsibilitiesLeader: Administers Hires, Terminations, and Performance ReviewsExperience QualificationsThree to five (3 - 5) years of experience in an HMO or experience working in a Social Service setting required. Minimum of three (3) years of previous supervision/management experience required.Education QualificationsMaster's degree from an accredited institution required.Professional LicensesPossession of an active, unrestricted, and unencumbered license in Clinical Social Work - Licensed Clinical Social Work (LCSW).Drivers License RequiredYes, must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.Knowledge RequirementDeep understanding and knowledge of services for members experiencing homelessness, long-term services and supports, mental health and substance use conditions, including both acute and chronic management of. Skillful in informally and formally sharing expertise. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both. Must have skills and resilience to tolerate a moderate level of change and development around new models of care and care management practices. Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies. Understanding of and sensitivity to multi-cultural community. Knowledge of whole health and integrated principles and practices is preferred.Skills RequirementBilingual (English/Spanish) preferred.Proficient in the use of Microcomputer applications (e.g. Microsoft Word and Excel, Power Point) for use in all aspects of an office environment and ability to learn new computer systems. Highly skilled interpersonally, with excellent relationship skills. Highly skilled in interpersonal communication, including resolving conflict with co-workers. Possess strong organizational skills.Abilities RequirementMust be able to work as a member of a team, executing job duties and making skillful decisions within one's scope. Ability to function independently. Able to sufficiently engage members and providers.Commitment to Team CultureThe IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.Starting Salary: $85,841.60 - $109,449.60Pay rate will commensurate with experienceInland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we're ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.SDL2017

Keywords: IEHP, Rancho Cucamonga , Supervisor, Behavioral Health & Care Management Support Services, LCSW, Other , Alta Loma, California

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