The Supervisor-TCL Care Management provides supervision and oversight to the non-licensed TCL Care Managers who support a specified population of members utilizing behavioral health and/or physical health services within Alliance Health Plan. The Supervisor-TCL Care Management is responsible for ensuring the TCL Care Mangers work within the principles of the permanent supportive housing model to stabilize tenancy to coordinate services that attend to the whole-person health in support of members living integrated lives as valued members of the community
This is a full-time remote opportunity. There is no expectation of being in the office routinely, however, the selected candidate must reside in North Carolina and be willing to travel throughout the Wake, Durham, Orange and surrounding counties to serve members as needed. Also must be available to travel to the Alliance office as needed for business meetings.
Responsibilities & Duties
Supervise and Develop Staff
Work with Human Resources and Unit Director to maintain and retain a highly qualified and well-trained workforce
Ensure staff are well trained in and comply with all organization and department policies, procedures, business processes, and workflows
Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements
Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
Ensure all staff are treated with respect and dignity
Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
Work to resolve conflicts and disputes, ensuring that all participants are given a voice
Set goals for performance and deadlines in line with organization goals and vision
Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development of care management/care coordination functions
Cultivate and encourage efforts to expand cross-team collaboration and partnership
Ensures team members adherence to contractual obligations and benchmarks
Supervise Unit Operations
Ensure that the activities of the Care Management Department are properly and professionally documented within electronic medical record platform per documentation standards for the Care Management Comprehensive Assessment, Care Plans, Documentation notes, quality of ISPs submitted to UM for accuracy and completeness, as well as internal and external email communication
Provide oversight for team, identifying when escalation is necessary or when referral to Physical or Behavioral Health Consultant, or Community Health Worker is warranted and offering supervision on complex cases.
Ensure adherence to agency and departmental policies and procedures to facilitate the functioning of the Care Management and compliance with agency, state, and federal regulations.
Participate in local, regional, and state meetings as required
Ensure care management activities are focused on special health care populations
Promote efficient person-centered and whole person care management in compliance with all TCL requirements
Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout the Alliance Health Plan catchment area
Provide oversight of case record reviews required by the Quality Management department
Participate in all related management and clinical team meetings as required
Develop and/or assist in the development of policies and procedures pertaining to the implementation and sustainability of the Tailored Plan/Medicaid Direct system of services including the Department of Justice settlement
Analyze and monitor community capacity for service needs, service gaps, and the implementation of evidence based/best practices
Ensure appropriate distribution of member assignment based on population and risk stratification
Oversee the implementation of a system-wide approach to improving the quality and accessibility of services and supports for high-risk citizens throughout the catchment area
Partner with community stakeholders to assess opportunities and barriers and achieve a seamless and coordinated service delivery system
Ensure adherence of team to contractual standards and benchmarks.
Offer feedback as initiatives are developed
Provide Customer Service
Maintain working relationships with providers, community agencies, professionals, and other stakeholders
Collaborate with other Alliance Departments to meet consumer and agencies goals
Assure compliance with Alliance Policies and Procedures
Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures
Monitor staff compliance with all Alliance Organizational Policies and Procedures and Care Management Desk Procedures
Support continuous quality improvement
Make recommendations to improve department procedures and increase operational efficiency
Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout Alliance
TCL Ongoing Monitoring
Ensure the TCL monitoring requirements are completed as outlined in service desk reference to support member tenancy, health, safety and community integration, property and provider coordination, technical assistance, service linkage, addressing barriers, monthly tenancy checklist and routine reporting
Ensure the 11-month and 24-month Quality of Life surveys are completed when needed
Tenancy Stability/Rehousing
Monitor the TCL Care Manager follows policy and procedure in securing documents required to maintain TCL tenancy, including annual inspections, biannual recertification, income adjustments, and monthly housing checklist
Support the TCL Care Manager as needed with the completion of and follow up on any voucher application needs
Support the TCL Care Manager with technical assistance to providers during the housing process when warranted
Review, monitor and ensure the TCL Care Manager completes the monthly follow up with providers when a member loses TCL housing and requests a rehouse
Support the TCL Care Manager with assisting a provider with completing the required documents for members moving to Bridge or Hotel Program
Monitor the documentation in the State and Alliance Health data systems when rehousing is confirmed
Housing Separations
Provide TCL Care Manager oversight and assistance to ensure the required discharge tasks are completed when a member leaves TCL housing
Minimum Requirements
Education & Experience
Master’s degree from an accredited college or university in Human Service field and three (3) years of post-degree experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI. Must be fully or provisionally licensed in the State of North Carolina as a LCSW, LCAS, LCMHC, LMFT, LPA.
Or
Graduation from an accredited school of Nursing and three (3) years of post-degree experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI. Must be licensed as a Registered Nurse in the State of North Carolina.
North Carolina residency required.
Preferred:
Experience with managed care, population health management, Transition to Community Living, or the Olmstead Settlement preferred. NACCM, NADD, CCM,C BIS, or Community Health Worker certification preferred.
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of Medicaid basic, enhanced MH/SUD, and waiver benefits plans
Knowledge of the NC Division of Mental Health, Developmental Disabilities and
Substance Abuse IPRS Target Populations and Service Array
Knowledge of 1915(b) and NC Innovations Waiver
Knowledge of Medicaid Service Array
Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws.
Knowledge of National Accreditation standards and regulations
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Tailored Plan/Medicaid Direct standards and procedures
Knowledge of using assessments to develop plans of care
Demonstrated knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness
Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
Strong interpersonal skills
Conflict management and resolution skills
Strong written and verbal communication skills
Salary Range
$66,240-$84,456.00/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long and Short-Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
