Care Team Supervisor

CareOregon, Inc. - Portland, OR (30+ days ago)


Position Title: Care Team Supervisor

Department: Population Health Partnerships

Title of Manager: Social Services Manager/Nurse Manager

Supervises: Registered Nurses, Behavioral Health professionals, Health Resilience Specialists, Triage and Health Care Coordination staff

Exemption Status: Exempt

Requisition: 12043

General Statement of Duties This position is responsible for supervising the daily operations of a cross-functional regional care team designed to support the care coordination needs of our members and to meet the Exceptional Needs Care Coordination OARs governed by the Oregon Health Authority. Regional teams are located in one of three areas: Centrally located teams at the health plan, community-based teams and more distant teams in our CCO regions (e.g., Jackson County and Columbia Pacific).This position is also responsible for meeting various CCO integration requirements as they are developed and implemented, including assuring implementation of effective care coordination processes with the Long Term Services and Supports agencies and providers in each CCO region. This position also assurse effective support to the delivery system related to care coordination needs for their patients, and as such, maintains excellent collaborative working relationships with Plan Operations benefit management leaders and staff. Finally, this position supervises a combination of clinical and non-clinical staff.

Essential Position Functions
  • Lead the daily work of care coordination staff, and act as a resource for staff who encounter challenges with assuring access to health care services for members.
  • Provide side by side supervision, coaching and training on care coordination job responsibilities and programmatic initiatives; consult or involve other supervisors or managers as needed.
  • Provide leadership and health plan integration support to CCO regional executives, transformation specialists, and clinical advisory panel and community advisory council members.
  • Provide leadership and health plan integration support to community partners and social service agencies that serve our members; act as liaison between CareOregon and community partners by assisting in communications and problem solving when appropriate.
  • Assure appropriate referrals and handoffs from care team staff to other health plan programmatic staff occur.
  • Review unit work to ensure staff understanding and implementation of program priorities and principles.
  • Ensure daily activities are being monitored, scheduled and coordinated across the team.
  • Identify areas for program and process improvement and make recommendations to unit management.
  • Develop community resource partnerships with associated service providers, such as behavioral health and high use member provider sites
  • Work with Population Health Partnership leadership to develop, monitor and evaluate metrics to assess care team effectiveness.
  • Act as a role model for unit staff for professional behavior and appropriate work ethic.
  • Participate in multidisciplinary rounds during which members’ needs are discussed and evaluated and plans of care developed and/or updated, as needed.
  • Maintain working knowledge of mandated benefits as they relate to members enrolled in relevant programs.
  • Promote the creative use of available community resources as an adjunct to health plan benefits and follow-up to determine if these are received by the member.
  • Perform other duties and projects as assigned.

Management and Leadership
  • Analyze staffing needs and provide recommendations to Population Health Managers for decision making.
  • Train, supervise and evaluate performance of assigned staff
  • Provide staff with the training, mentoring and resources necessary to carry out their work.
  • Ensure adherence to department and organizational standards, policies and procedures.
  • Ensure performance goals, expectations and standards are clearly understood by supervised staff.
  • Evaluate employees’ performance on an ongoing basis and take appropriate corrective action if needed.
  • Perform human resource functions in collaboration with Human Resources.
  • Work with unit staff to determine coverage during times of unplanned absences and when necessary, cover an assignment.

Essential Department and Organizational Functions
  • Represent Population Health Partnership Division at interdepartmental meetings and projects.
  • Identify opportunities to collaborate with other departments to increase organizational efficiency and effectiveness.
  • Remain current regarding processes and tasks performed by transformation specialists, primary care innovation specialists, and behavioral health innovation specialists.
  • Provide periodic coverage for staff assignments as appropriate in order to stay current with work processes or as needed to support the unit when absences require management assistance
  • Propose and implement process improvements.
  • Meet deadlines for completion of workload.
  • Maintain agreed upon work schedule.
  • Demonstrate cooperation and teamwork.
  • Provide cross-training on specific job responsibilities.
  • Meet identified business goals that contribute to departmental goals.

Knowledge, Skills and Abilities Required
  • Ability to supervise multidisciplinary teams to reach their full potential for collaboration, productivity and effectiveness
  • Ability to keep multiple tasks on track and bring projects successfully to completion
  • Ability to remain flexible; positive, and adaptable
  • Ability to commit to process improvement, employee development, principles of cultural competence, and personal growth
  • Able to build productive professional relationships, hold staff accountable and resolve conflicts successfully
  • Working knowledge of OHP and Medicare benefits
  • Working knowledge and use of Trauma Informed language and principles
  • Working knowledge of ENCC OARs and CCO integration requirements and CareOregon’s current Medicare Model of Care standards
  • Understanding of mental health and Substance use disorders and how they impact health
  • Understanding and use of Person First language and principals
  • Ability to display non-judgmental attitude.
  • Knowledge of community social service agencies.
  • Ability to work in a continuously improving environment and support others to embrace change
  • Strong motivational skills to inspire and facilitate staff engagement and learning
  • Ability to synthesize bio/psycho social information and define the significant priorities for patients with complex illness
  • Aptitude for behavior change coaching
  • Ability to mentor individual and team growth
  • Ability to implement projects and to train staff to new processes and procedures
  • Ability to problem solve creatively
  • Ability to develop and implement policies and procedures
  • Ability to work in an environment with diverse individuals and groups
  • Aptitude for using computer based programs
  • Familiarity with operations of primary care clinics

Physical Skills and Abilities

Lifting/Carrying up to 10 Pounds

Pushing/Pulling up to 0 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

0 hours/day

0 hours/day

0 hours/day

0 hours/day

0 hours/day

0 hours/day

More than 6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

0 hours/day

0 hours/day

0 hours/day

0 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Required:
  • Bachelors Degree in Nursing and relevant unrestricted Oregon RN license or Masters Degree in Counseling or Social Work
  • Minimum 3 years’ experience in nursing, behavioral health and/or social services
Preferred:
  • LCSW and/or LPC for candidates with a Masters Degree in Counseling or Social Work
  • Minimum 2 years’ supervisory or leadership experience, preferably supervising care coordination services
  • Experience working within a Medicaid managed care environment and/or working with vulnerable populations in community medical or mental health settings

Working Conditions
  • Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
Inside/office Clinics/health facilities Member homes

Other_________________________________________
  • Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
  • Equipment: General office equipment
  • Hazards: n/a

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Veterans welcome to apply