Supervisor Care Management
JOB SUMMARY
Will have primary responsibility for the management, supervision and coordination of care management staff including intensive care management staff. Provides leadership and subject matter expertise in designated clinical programs. ESSENTIAL FUNCTIONS: A. Manage Care Management team member performance through the review of qualitative and quantitative performance results on a regular and ongoing basis. Provide constructive feedback and set improvement milestones when indicated. Ø Regularly assess the clinical performance of care management staff via documentation audits, live service observations and other performance management tools.Ø Set clear performance expectations with team of approximately 10-12 associates (and communicate how performance goals are linked to organizational goals and values. Ø Motivate and encourage team members to excel. Create a team environment that contributes to a high degree of employee satisfaction.Ø Monitor individual team member reliability patterns and take corrective steps when indicated. Utilize the workforce management system to monitor schedule adherence and other work habits. Ø Recruit, interview, and select qualified clinical team members, take corrective actions for team members that do not meet expectations.Ø Conduct the performance review, merit and bonus processes for team members.B. Lead the Care Managers in the monitoring and managing inpatient, outpatient and intermediate levels of care related to mental health and substance abuse treatment. Oversee care management review activities consistent with Magellan Behavioral Health policies, procedures, and standards. C. Manage day to day activity of care manager/care worker team to ensure client commitments and other Magellan performance expectations are achieved:Ø Develop plans to ensure team achieves specific goals in support of client and overall CMC goals. Ø Coordinate with Operations Hub in the achievement of service level and resource utilization goalD. Coordinates Quality Improvement activities under the direction of clinical leadership.E. Assists clinical management in the development and implementation of strategic and operational goals and plans.F. Ensures appropriate clinical supervision and case consultation for clinical staff, including psychiatric consultation. Assists, on an as needed basis, in response to peak work periods.NON-ESSENTIAL FUNCTIONS: If Manager has RN qualifications, oversight of TRF reviews are done by Masters or Doctoral level supervisor. Manages within the established Magellan clinical quality standards and quality management plan protocols. Provides clinical leadership for the review and initiation of alternative placements for care.
MINIMUM REQUIREMENTS1. Education: BSN, Masters or Doctoral level degree in mental health or related field.2. Experience: 6yrs experience to include 5 years post degree experience in a behavioral healthcare setting and 2 yrs supervisory experience. 3. Computer Skills: Ability to use computer systems.4. Licenses, Certifications, etc.: Meets Magellan’s credentialing criteria for RN, Masters or Doctoral level providerOTHER: Reviews and monitors care managers’ performance; provides feedback and counseling; and hires clinical staff. Good organization, time management and communication skills. Thorough knowledge of mental health and substance abuse community resources and providers. Ability to function independently as a team member, analyze specific utilization problems, plan and implement solutions that directly influence quality of care and cost efficiency and to supervise the collection of pertinent clinical information while maintaining a good rapport and relationship with mental health and substanceabuse providers. Considerable skill in interpreting clinical treatment information and making appropriate referral and triage decisions. PREFERRED QUALIFICATIONS
1. Experience. Three years previous experience in an administrative/supervisory and/or managed care position is preferred.
