Supervisor, Long Term Care - Care Transitions & BH (Hybrid Work Schedule)

Date: Sep 13, 2022

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 7839 

 

Position Summary/Position

 

Under the direction of the Long-Term Care (LTC) Nurse Manager, he/she will oversee the License Social Worker, Master Social Workers, Register Nurse, Licensed Vocational Nurse and non-clinical Team Members. This position is responsible for overseeing the placement and care transition staff to ensure coordination of care occurs when Members move from one care setting to another, such as when they are discharged from a facility to home, facility to facility, or home to facility. The Supervisor will ensure coordination of care, clinical care management, continuity of care for IEHP Members with, or at risk for mental health, behavioral health, and/ or substance use-addictive disorders and continuous cost-effective quality healthcare for our IEHP Members.

Major Functions (Duties and Responsibilities)

 

1. Work closely with the LTC Manager to coordinate daily staffing and coverage for the LTC unit.
2. Responsible for the oversight of IEHP Members who move from one care setting to another as Member health status changes, such as when they are discharged from a facility to home, facility to facility, or home to a facility.
3. Active collaboration with ECM Teams to implement transition of care from LTC and Nursing Residents transition to ECM or vice versa.
4. Ensure Social Workers perform facility visits to assess psychosocial factors which may affect the Member’s health or recovery from illness, including cognitive functioning, current support system, and Member’s goal for transition if appropriate.
5. Ensure staff coordinates and documents the communication of the Member’s plan of care after visits and coordinator with the LTC Nurse to ensure all discharge needs are provided up discharge.
6. Ensure coordination and documentation of the SNF plan of care with the Member’s IEHP Care Manager that will be assigned to the Member once the transition to a new level of care occurs.
7. Ensure staff collaboration with the Member’s Care Manager to ensure that the Member’s current plan of care is inclusive of any required changes due to a new care setting or change in the Member’s health status.
8. Review and provide education to staff on transition care plan needs, social needs, assessment for mental health, behavioral health, and/ or substance use-addictive disorders, and assists staff in developing the plan of care to identify and manage warning signs and symptoms that would indicate a condition worsening, and when the staff should contact the appropriate healthcare professional.
9. Collaborate with other IEHP departments such as Community Health, Care Management, Enhanced Care Management, Behavioral Health, and Independent Living and Diversity Services, to assist in the safe transition of Members back to the community.
10. Assess and evaluate family support to identify appropriate resources for Member.
11. Maintain strong working relationships with both the Inpatient staff and the Dual Choice staff to facilitate interdepartmental communication and coordination.
12. Ensure appropriate and accurate documentation in the medical management system.
13. Attend and present in multidisciplinary teams and meetings (e.g., case conferences, inpatient rounding, inter-disciplinary care team meetings).
14. Visit the Member and facility to ensure that the Member is receiving appropriate care and identifies any care related issues.
15. Provides appropriate recommendations for Member’s long-term housing.
16. Participates in LEAN Activities.
17. Support the strategic focus areas of the organization.

Supervisory Responsibilities

Leader: Administers Hires, Terminations, and Performance Reviews

Experience Qualifications

 

Three (3) or more years of utilization management/case in health care delivery setting, with an emphasis on long term care and utilization management. One (1) year of supervisory experience.

Education Qualifications

 

High school diploma or GED required.

Preferred Education

 

Bachelor’s degree from an accredited institution preferred.

Professional Licenses

 

Possession of an active, unrestricted, and unencumbered license issued by appropriate California state board required:
- LVN
- RN
- LCSW/LMFT

Knowledge Requirement

 

Knowledge of Medicare and Medi-Cal benefits and eligibility criteria.

Skills Requirement

 

Analytical skills. Ability to conduct interviews with Members and their families to assess and review their healthcare status and needs.

Abilities Requirement

 

Self-starter and a team player.

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 $103,708.80  - $132,225.60, 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. With a provider network of more than 7,000 and a team of more than 2,500 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 a 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