Supervisor, Community Based Care Job at L.A. Care Health Plan (Los Angeles)

Job Description

The Supervisor of Community Based Care is responsible for monitoring Community Health Workers (CHW) daily work and activities including but not limited to ensuring proper staffing and coverage, monitoring and evaluating departmental operations to ensure optimal efficiency and effectiveness. The position also assists in triaging identified issues/problems and forming resolution within the scope of work. Escalates appropriate issues to the Community Based Care Management Manager.

Job Responsibility

Monitoring Community Health Workers (CHW) daily work and activities including but not limited to ensuring proper staffing and coverage, monitoring and evaluating departmental operations to ensure optimal efficiency and effectiveness
Assists in triaging identified issues/problems and forming resolution within the scope of work
Escalates appropriate issues to the Community Based Care Management Manager
Assisting and developing a successful and cohesive unit, with high level of productivity and accuracy to achieve the department's overall performance metrics
Supports and assists the Community Based Care Management Manager in identification of training needs including but not limited to assisting in development of programs, training materials, competency checklist, and orientation checklists
Ensuring all functions are operating in accordance with the organization's mission, values and strategic goals
Manages all aspects of running an efficient team, including hiring, supervising, coaching, disciplining, and motivating direct-reports
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

Requirements

Associate's Degree in Nursing for Registered Nurse or Master's Degree in Social Work fro Licensed Clinical Social Worker
In lieu of degree, equivalent education and/or experience may be considered
Minimum of 3 years of recent community based care management experience in a medical or managed care setting, such as a health insurance environment and/or in community clinic/hospital environments
At least 3 years of leading process, program, or staff or supervisory experience
Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement
Knowledge of state, federal and regulatory requirements in Care Management and Community Based Care
Strong verbal and written communication skills
Computer literacy with proficiency with Microsoft Word, Excel, etc. and core departmental system
Excellent organizational, time management and interpersonal skills
Must be detailed oriented and an enthusiastic team player
Ability to work independently and with internal and external customers
Ability to solve complex issues and identify and implement creative solutions
Licensed Clinical Social Worker (LCSW)
Current and unrestricted California License or Registered Nurse (RN)
current and unrestrited California License
Travel to offsite locations for work

Nice to have

Bachelor's Degree in Nursing
Care Management Certification

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

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Supervisor, Community Based Care

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