Care Manager Supervisor Job Description:

The Care Manager Supervisor (CMS) is accountable for the overall administrative and clinical

supervision and support of Care Managers (CMs). The Care Manager Supervisor is responsible for

overseeing and ensuring quality and compliance in accordance with guidelines & regulations set

forth by the DOH, Health Home(s), other Governing Entities, and executive leadership. The Care

Manager Supervisor directly supports a team of assigned care managers including training,

scheduling, assigning, coordinating, reviewing, and evaluating work on an ongoing basis. Care

Manager Supervisor provides regular individualized and group supervision, guidance, and

professional development and growth advocacy for Care Managers. Supervisors maintain a personal

caseload in addition to their supervision responsibilities, and report to executive leadership on an

ongoing basis.

Major Responsibilities/Activities:

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

• Assist care managers with onboarding, track trainings and ensure all mandatory

trainings are completed and updated as needed (i.e., CANS-NY)

• 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

• 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

• Seeks advice and directly reports 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

employees

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

• 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 Care Management, company executives, and Quality

Assurance & Compliance Team to provide and evaluate data and statistics for growth

planning, development, and quality assurance purposes

• 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 regulatory rules and regulations, attendance at 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 any violations

• Collaborate with all divisions, executive directors, and managers to ensure a robust

integrated health care system

• Establish, implement, administer, and evaluate company policies and procedures as per

requirements of DOH, Health Homes, and all Governing Entities

• Interpret and apply federal and state mandated guidelines for care management

• Develop, monitor, and recommend improvement to operational processes and

workflows ensuring alignment with company’s mission, values, goals and objectives and

local, state, and federal laws and regulations

Minimum Requirements:

• Bachelor's Degree

• 2-5 years' experience working with populations with complex medical, mental health

and psychosocial needs.

• Experience managing teams providing care management

Professional Competencies:

• Ability to travel to community-based agency offices and clients’ homes as needed

• 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, Health Home 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

Job Type: Full-time

Pay: $25.00 - $35.00 per hour

Expected hours: 35 per week

Benefits:

• Flexible schedule
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday
• On call

Work Location: In person