Supervisor, Care Management, LVN (Hybrid Work Schedule)

Date: Nov 12, 2022

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 8214 

 

Position Summary/Position

 

Under the direction of the Behavioral Health and Care Management (BH and CM) leadership, the Supervisor, Care Management, LVN 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 care management, coordination of care, and continuity of care for IEHP Members. In addition, the Supervisor, Care Management, LVN provides oversight and supervision of the integrated services for IEHP Members, 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 the importance of Member experience and engagement and engage with other leaders in BH and CM and at IEHP in developing and implementing Member and Team Member experience improvement activities.
3. Work closely with the BH and CM leadership to develop effective behavioral health care management principles, processes, and workflows as well as monitor care management services to ensure compliance with all IEHP, state and federal regulatory requirements.
4. Monitor and provide direction to the BH and CM team to ensure implementation of timely processes and follow through of calls, task completion, care coordination and care management, including Complex Care Management responsibilities.
5. Provide leadership, support, and clinical and administrative supervision of care managers, to ensure delivery of high-quality, cost-effective services to Members.
6. Proactively recognize problematic or risk areas and help develop effective and efficient solutions in conjunction with BH and CM Team Members.
7. Collaborates with BH and CM providers, IEHP Team Members and other IEHP departments, to resolve issues and improve workflow processes to ensure delivery of high-quality services.
8. Identify staff training and development needs and provides training and guidance related to the behavioral health to clinical and non-clinical staff to ensure Members’ needs are met holistically.
9. Professionally represent the department at selected IEHP meetings including external events, as necessary.
10. Collaborate with BH and CM Supervisors of Integrated Teams (e.g., D-SNP, Children’s Teams, ECM) on the tracking of HEDIS measures and implement interventions to meet goals.
11. Provide exemplary leadership for all assigned BH and 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.
12. Identify opportunities for improvement within the department and actively identify solutions, including but not limited to providing clinical trainings.
13. Discuss difficult or complex cases with Team Members, provide recommendations for further action, coach Team Members in addressing Member’s holistic needs.
14. Review and update departmental policies and procedures, as necessary. Evaluate current programs for efficiency and program outcomes by analyzing specific data and providing improvement suggestions. 

Supervisory Responsibilities

Leader: Administers Hires, Terminations, and Performance Reviews

Experience Qualifications

 

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

Education Qualifications

 

Associate's degree from an accredited institution required.

Preferred Education

 

Bachelor’s degree from an accredited institution preferred.

Professional Licenses

 

Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required.

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Knowledge of regulatory standards of all BH&CM regulatory bodies (DHCS, DMHC, Medicare, NCQA) preferred. Working knowledge and understanding of behavioral health and care management principles and regulatory requirements for Medi-Cal and/or Medicare populations. Understanding of and sensitivity to multi-cultural community.

Skills Requirement

 

Proficient in the use of Microsoft applications (e.g. Microsoft Word, 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

 

Ability to function with little to no supervision. Self-starter and a team player. Must have a high degree of patience. Values team building and including Team Members in process improvement. Ability to verbalize, as well as demonstrate, a broad understanding and the underlying principles of medical and behavioral health integration. Develops effective collaborative partnerships with internal departmental colleagues (i.e. Utilization Management, Pharmacy and others). 

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.

A reasonable salary expectation is between $91,000.00 and $116,022.40, based upon experience and internal equity.

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, designated as “Great Place to Work.” With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and 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 stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles