Supervisor, Behavioral Health & Care Management - Clinical

Date: Jul 20, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 4842 

 

Position Summary/Position

 

Under the direction of the Behavioral Health & Care Management (BH & CM) leadership the Behavioral Health & Care Management Clinical Supervisor, is responsible for assisting in the program development and implementation of the behavioral health and care management operations. The Supervisor is responsible for overseeing daily operations of clinical care management, coordination of care, and continuity of care for IEHP members with, or at risk for, mental health, behavioral health, and/or substance use-addictive disorders. In addition, the Behavioral Health & Care Management Clinical Supervisor, provides clinical oversight and supervision of the integrated services for IEHP members with complex conditions, as well as administrative and operational oversight. This position engages the care team members, working collaboratively to build and maintain high levels of engagement, as well as excellent member experience.   

Major Functions (Duties and Responsibilities)

1. Develop effective relationships with co-workers, direct reports, and community partners, modeling excellent interpersonal skills and collaboration in working toward job duties and goals
2. Model importance of member experience and engagement and engage with other leaders in BH & CM and at IEHP in developing and implementing Member and Team Member experience improvement activities
3. Communicate, formally and informally, nature and importance of mental health and Substance Use Disorder (SUD) in overall health to IEHP BH & CM department, as well as larger organization. Engage with other IEHP leaders and community partners in developing and implementing large scale public health education and anti-stigma campaigns, for employees, for Members and for BH network
4. Work closely with BH & CM leadership to develop effective SUD care management principles, processes, and workflows as well as monitor care management services to ensure compliance with all IEHP, state and federal regulatory requirements
5. Monitors and provides direction to BH & CM Team to ensure implementation of timely processes and follow through of calls, task completion, Health Management and Complex Care Management (CCM) functions
6. Provide leadership, support, and clinical and administrative supervision of care managers, to ensure delivery of high quality, cost effective services to Members
7. Proactively recognize problematic or risk areas and help develop effective and efficient solutions in conjunction with BH & CM
8. Collaborates with BH & CM providers, IEHP Members and other departments regarding BH concerns, especially as they relate to SUD and mental health
9. Professionally and collaboratively interface with Utilization Management Department and Member Services to resolve issues and establish workflow processes to ensure delivery of high-quality services.
10. Become proficient in all electronic medical management systems (e.g. MHK, HSP, Super Search and Web Portal) to assist in training of new staff members
11. Professionally represent department at selected IEHP meetings including external events, as necessary
12. Collaborate with BH & CM Supervisors of Integrated Teams (Inpatient, Special Pops, Health Homes) on tracking of HEDIS measures and implement interventions to meet goals
13. Provide exemplary leadership for all assigned BH & CM Team Members ensuring team members are given every opportunity to succeed in their positions and are supervised in accordance with Department and Human Resources (HR) policies
14. Identify clinical deficits within department and actively find solutions, including but not limited to providing clinical trainings
15. Provide clinical supervision as necessary, consulting on high-risk cases and providing direction to BH & CM Department
16. Review and update departmental policies and procedures, as necessary
17. Ability to evaluate current programs for efficiency and program outcomes by analyzing specific data and providing suggested improvements
18. Refers appropriately to and maximizes use of community services, support programs, internal/external resources available to Members including Embedded Case Management, Health Homes, Palliative Medicine, Behavioral Health, Transplant programs, pain management, etc.
19. Ability to perform comprehensive assessment of patients and create a care plan to address medical, psychosocial, and financial concerns or issues facing the member
20. Collaborates with embedded Case Management Team, Pharmacists, and Interdisciplinary teams
21. Solves complex problems and/or conducts complex analyses impacting transitions/readmissions

Supervisory Responsibilities

Leader: Administers Hires, Terminations, and Performance Reviews

Experience Qualifications

 

Five (5) years of experience in an HMO or experience working in a Social Service setting required. Three (3) year of previous lead or supervisor capacity experience required.

Education Qualifications

 

Master’s Degree from an accredited institution required.

Professional Licenses

 

Possession of an active, unrestricted, and unencumbered license in a Social Services related Field.  (License in Social Work or Marriage and Family preferred)

Drivers License Required

Yes, must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.

Knowledge Requirement

 

Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management of. Skillful in informally and formally sharing expertise. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both. Must have skills and resilience to tolerate a moderate level of change and development around new models of care and care management practices. Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies. Understanding of and sensitivity to multi-cultural community. Knowledge of whole health and integrated principles and practices is preferred.

Skills Requirement

 

Bilingual (English/Spanish) preferred. 


Proficient in the use of Microcomputer applications (e.g. Microsoft Word and Excel, Power Point) for use in all aspects of an office environment and ability to learn new computer systems. Highly skilled interpersonally, with excellent relationship skills. Highly skilled in interpersonal communication, including resolving conflict with co-workers. Possess strong organizational skills.

Abilities Requirement

 

Must be able to work as a member of a team, executing job duties and making skillful decisions within one’s scope. Ability to function independently. Able to sufficiently engage members and providers.

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

 

Major Functions (Duties and Responsibilities) Continued:

22. Assesses effectiveness and quality of services provided related to clinical, functional, and financial impact, and outcomes
23. Facilitates case conferences to ensure safe transitions of care as Member moves through various stages of treatment
24. Educates and supports Members to assist them in the best decision making for their health and wellness

 

 

Working Conditions:

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Possession of a California Driver’s License.

 

Starting Salary: $97,843.20  - $124,758.40  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles