Supervises the day to day activities of CHWs, including but not limited to: Staffing, assignment distributions and time off requests; Monitoring of staff's performance including productivity and compliance with regulatory requirements; Handling all questions/issues raised by staff and knowledge to know when to escalate to the manager. Recommends process improvement measures to achieve department's performance measures outcomes and goals. Plans and directs CHW activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members and Interdisciplinary Care Team.
Functions as supervisor in assigned line of business and responsible for identifying the training needs including but not limited to assisting in the development of programs, training materials, orientation checklist, and competence checklist necessary to meet educational needs. Responsible for training new staff and cross-training in specified line of business. Developing tools and workflows to assist in training and development of staff. Completes evaluation of staff and provides recommendation in the hiring and termination process of staff. Monitor staff's performance, identifies and communicates areas that needs performance management to ensure employee compliance with regulatory requirements, policies and procedures.
Develop and maintain positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Serves as a leader and role model as well as technical and informational resource for staff and peers. Foster a culture that encourages employee contribution to ensure that the department maintains an environment in which quality flourishes and recommends resources to reach new standards.
Maintain all assigned reporting responsibilities. Conducts regular audit activity via department's performance reporting standards to maintain quality care of members and compliance to regulatory requirements. Assures the accuracy of reports and department proficiency in maintaining regulatory standards and time frames. Provides reports to manager to identify trends and improve work flow process.
Ensure department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations relating to protection of personal history information (PHI).
Perform other duties as assigned.
