Job Description

Serenity Community Care is hiring a Care Manager Supervisor in our office in Lakewood, NJ! The CMS is responsible for training and supervision of Care Managers. The Care Manager Supervisor implements policies and procedures to ensure quality and compliance in accordance with regulations set forth by the DOH, Health Home(s), and executive leadership. The Care Manager Supervisor directly supports a team of assigned care managers to ensure quality service delivery. Responsibilities include assigning, coordinating, reviewing, and evaluating work on an ongoing basis. Care Manager Supervisors provide regular individualized and group supervision, guidance, and professional development and growth advocacy for Care Managers. Supervisors may maintain a small personal caseload in addition to their supervision responsibilities.

Responsibilities/Activities:

· Orient and conduct regular trainings for CMs, including sessions covering casework methods and techniques, to ensure each possesses the required competencies to successfully perform their job

· Supervise a unit of no less than 8 Care Managers with mixed acuity caseloads, up to 40 cases assigned to each

· Conduct meetings with CMs on an individual basis to discuss specific case problems and work performance issues; provide written and verbal evaluations on an ongoing basis; counsel, and if needed, discipline employees on work performance issues

· Seek advice and directly report on a constant basis to management and executive team

· Conduct weekly/biweekly supervision with each Care Manager to review case details as it relates to case needs, overall well-being, and progress of each family

· Review timeliness, completeness, quality, and appropriateness; approve and monitor documentation, service, and encounter completeness with Quality Assurance and compliance oversight in mind

· Create and maintain an atmosphere of warmth, professionalism, and positivity among mental health employees

· Provide professional guidance and inspire to attain goals and pursue excellence

· Ensure eligibility criteria of new members prior to enrollment and assignment to care manager

· Facilitate the intake process, speak with potential members and their family, provide education and information about enrollment, encourage member participation in the program and services

· Coordinate and assign members to care managers

· Participate in the recruitment of new staff by interviewing applicants and providing input on hiring as needed

· Participate in continued education trainings, Interdisciplinary Team Meetings, case conferences, and any required meetings and trainings per management, Health Home(s), DOH, or other Governing Entities

· Work with the Director of Client Services and Quality Assurance & Compliance Team to provide and evaluate data and statistics for growth planning, development, and quality assurance purposes

· Assist care managers with onboarding, track trainings and ensure all mandatory trainings are completed and updated as needed (i.e.; CANS-NY).

· Review care managers’ work, ensuring minimum billing standards are met for each month beginning from date of enrollment

· Monitor timely submission of all documentation as required by DOH, Health Home(s) and Governing Entities

· Oversee the identification of eligible Health Home clients referred for program enrollment and consent process

· Utilize team members to fullest potential, encourage collaboration, mitigate conflict, foster positive communication, acknowledgement and appreciation

· Ensure staff meets ethical standards

· Remain current on all required trainings, meetings, and CEUs from the lead health homes, state, and governing entities to support program compliance, growth, and sustainability

· Coordinate and ensure execution of documentation and all necessary quality requirements/components for audit preparation; participate in audits as needed

· Provide direct support to clients; maintain an individual caseload of clients as needed

· Oversee the completion of all documentation to substantiate timely billing: perform account readiness and pre-billing reviews and activities

· Implement and administer company policies and procedures, ensure team’s compliance

· Report any abuse or neglect to management immediately upon observation or report

· Maintain confidentiality, protect privacy, comply with Protected Health Information regulations, and report violations

· Collaborate with all divisions, executive directors, and managers to ensure a robust integrated health care system

Minimum Requirements:

· Bachelor's Degree

. Master’s Degree in a related field (such as Human Services, Social Work, Nursing, or Public Health) preferred

· 2-3 years experience providing/managing care management services

Professional Competencies:

· Ability to travel to community-based agency offices and clients’ homes

· Proven decisiveness, motivational, and developmental skills; management abilities, including meeting deadlines, ensuring compliance with agency policies and procedures, and overseeing complete and timely maintenance of agency records, in accordance with contractual requirements

· Pleasant and confident demeanor when dealing with colleagues and clients

· Strong communication skills, including the ability to read, write, and speak English proficiently

· Efficient and well organized

· Proficiency with software and calendar systems

· Ability to communicate difficult/sensitive information tactfully

· Strong knowledge of federal, state, care management, and other applicable regulations

· Safeguards confidentiality; adheres to HIPPA policies

· Active certification in all Care Management courses required by DOH, Health Home(s), and Governing Entities

· Knowledge of NY care management program policies, principles, and practices

· Knowledge of best practices working with children and families in health, preventive and wellness care

· Working knowledge of child welfare, developmental disabilities, mental health, and/or primary healthcare fields

Experience Required

3-4 years