Supervisor II-Care Management Liaison (Full-Time Remote, North Carolina Based)

Care Management Liaison Supervisor is a licensed healthcare professional who provides oversight to Care Management Liaisons, a team of licensed and non-licensed staff who support Alliance members working with external entities (Primarily Primary Care Offices and Provider Led Entities) by providing consultation, training and assistance to ensure quality member care. The key responsibilities will include oversight, training, process development, and monitoring of staff activities. This supervisor communicates and collaborates with internal and external stakeholders to resolve barriers to services and resources. They are accountable for maintaining effective and efficient team workflow and reporting requirements to Alliance leadership and the State.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 workflows for care management working with BH/IDD/TBI and/or 1915i servicesEnsure 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 organizational goals, departmental strategic goals and the organization’s vision and valuesEffectively 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 OperationsCoordinate with internal and external partners to address member specific issues such as barriers, transitions in care, and access to resourcesAssist external stakeholders through consultation, technical assistance and education to support Alliance membersProactively identify and resolve member related issues to minimize care gaps and enhance member outcomes. This will involve, but not limited to, recognizing potential concerns revealed in data pulls, and alerts from internal departments or external stakeholdersEnsure that staff activities are properly and professionally documented based on current documentation requirements within electronic medical record platform as well as internal and external email communicationProvide administrative oversight for team, identifying when escalation is necessary or when collaboration is warranted and offering supervision on complex casesParticipate in all related management and clinical team meetings as requiredOversee 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 coordination of support and servicesProvide 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/AnalyticsUtilize 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 ProceduresEnsure team adherence to agency and departmental policies and procedures to facilitate the functioning of the team and compliance with agency, state and federal regulationsContinuous Quality ImprovementRecommend to improve department procedures and increase operational efficiencyMonitor trends and identify opportunities for enhancements in service utilization and implementation throughout the organizationTravelTravel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be requiredTravel to meet with members, providers, stakeholders, attend court hearings etc. is requiredMinimum RequirementsEducation & ExperienceRequired:Graduation 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 Care.OrMaster’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 LMFT LCSW, 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 providersKnowledge in the implementation of the 1915 (b/c) waivers and national accreditation is essentialKnowledge 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 practiceKnowledge 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 LawsKnowledge 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 departmentAbility to access and interpret information and propose solutions to address issues and specific consumer needs and situationsHigh level of diplomacy and discretionAbility to effectively negotiate and resolve issues with minimal assistanceExceptional 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 appropriatelyEmployment 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