Supervisor II-Transition Coordinator (Full-time Remote, North Carolina Based)

The Transition Coordinator II Supervisor provides oversight to Transition Coordinator, a team of licensed and non-licensed staff who provide or assist with the provision of Transitional Care Management for members with physical and/or behavioral health needs in Acute Care facilities, State Operated Developmental Centers, and Justice System settings. Our Transition Coordinator Supervisor may also provide oversight for Transition Coordinator staff dedicated to processing and conducting Warm Hand Offs to Provider Led Entities and other Plans.This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required.Responsibilities & DutiesSupervise and Develop StaffWork 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 workflowsEnsure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirementsActively establish and promote a positive, diverse, and inclusive working environment that builds trust Ensure all staff are treated with respect and dignityEnsure standards are transparent and applied consistently, impartially, and ethically over time and across all staff membersWork to resolve conflicts and disputes, ensuring that all participants are given a voiceSet goals for performance and deadlines in line with organization goals and visionEffectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional developmentCultivate and encourage efforts to expand cross-team collaboration and partnershipSupervise Unit OperationsParticipate in the initiation, development, and maintenance of clinical protocols and other population-based programs, facilitating collaboration and consensus of multidisciplinary teams as complete care is developedOversee the development of department specific goals and objectives ensuring alignment with system strategy, vision, mission, and valuesFormulate, implement, and evaluate strategies for specialized staff education as it relates to member care, case management and plans of careProvide Customer ServiceDevelop strong working relationships with providers and internal/external stakeholders by scheduling ongoing opportunities to share feedback and collaborateExercise conflict resolution skills to appropriately resolve issues with providers and internal/external stakeholdersDevelop strong working relationships among the department and provide customer services with providers and stakeholders internal/external by scheduling ongoing opportunities to share feedback and collaborateQuality/Data/AnalyticsReview, validate and interpret risk stratification data and population health groups and recommends changes or adjustments to care management approach as neededUtilize data systems to monitor process improvement and resource utilization Knowledgeable of HEDIS measurements and population health within a complete care modelUtilize evidence-based practice to ensure quality outcomes for membersCompliance with Alliance Policy and ProcedureEnsure adherence to all Alliance Organizational Policies and Procedures and Care Management Desk ProceduresContinuous Quality ImprovementMake recommendations to improve department procedures and increase operational efficiencyMonitor trends and identify opportunities for enhancements in service utilization and implementation throughout the organizationMinimum RequirementsEducation & ExperienceGraduation from an accredited school of nursing with Registered Nurse license and five (5) years of experience with at least two (2) years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed CareOrMaster’s degree in Human Services from an accredited college or university and three (3) years post graduate degree experience with at least two years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care.Must have a valid, active clinical license as a LCSW, LMFT, LCAS, LCMHC, LPA, or RN in North Carolina.Preferred: Two (2) years supervisory experience and CM or CCM certification preferred.Knowledge, Skills, & AbilitiesKnowledge and understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) and ICD-10 codingConsiderable knowledge of the MH/SUD/IDD service array provided through the network of the Applicant’s providers. Knowledge in the implementation of the 1915 (b/c) waivers and national accreditation is essential. Knowledge of and skilled in the use of MS Office Products including Outlook, Excel and WordDetail-oriented and able to organize extensive amounts of clinical data, multiple tasks and prioritiesKnowledge of research and best practice development in clinical practice, Knowledge of Utilization Management/Utilization review and other related areasKnowledge of Tailored Plan standards or proceduresKnowledge of the NC Division of Mental Health, Developmental Disabilities and Substance Abuse IPRS Target Populations and Service ArrayKnowledge of 1915(b) and NC Innovations WaiverKnowledge of Medicaid and Innovations Service ArrayKnowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws.Knowledge of National Accreditation standards and regulationsAbility to effectively manage projects from start to finishAbility to adapt and shift focus according to mandated changes and changing priorities within the department. Ability to access and interpret information and propose solutions to address issues and specific consumer needs and situations. High level of diplomacy and discretionAbility to effectively negotiate and resolve issues with minimal assistance.Exceptional interpersonal skillsAbility to communicate effective orally and writtenAbility to make prompt, independent decision based on relevant factsProblem solving, negotiation, and conflict resolutions skillsHighly skilled at assuring that both long- and short-range goals and needs of the individual are addressed and updated, while also assuring through monitoring activities that service implementation is occurring appropriately.Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.Salary Range$77,868 - $99,282 AnnuallyExact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equityAn excellent fringe benefit package accompanies the salary, which includes:Medical, Dental, Vision, Life, Long Term DisabilityGenerous retirement savings planFlexible work schedules including hybrid/remote optionsPaid time off including vacation, sick leave, holiday, management leaveDress flexibilityWant to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU