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JOB DESCRIPTION & PHYSICAL REQUIREMENTS

 

Carobell, Inc.  

Job Description 

 

 

Title 

Care Management Supervisor 

Department(s) 

Carobell, Inc. Tailored Care Management 

Reports to 

Director of Tailored Care Management 

Date Prepared 

July 2022 

Revision Date(s) and Description of Revision 

 

 

Reviewed and Approved by 

 

Scope of Position 

 The Care Management Supervisor will be responsible for providing clinical, administrative, and operational supervision and guidance to the Care Management team to promote whole person, integrated care.  He/she will regularly communicate and collaborate with the care management team and the Tailored Care Management Director to support Carobell, Inc. mission and ensure quality of service delivery.   

 

 

Essential Job Functions 

  • Supervision of Care Managers: One supervising care manager will not oversee more than eight care managers. Supervisors should have no caseload, but will provide coverage for vacation, sick leave, and staff turnovers.  
  • Oversight of Specific Care Management Functions: Ensure Care Management Staff are meeting expectations, requirements and timelines in these areas: Care Management Comprehensive Assessment; Care Plans and Individual Support Plans (ISPs) ; Development of the Care Team; Care Coordination; Twenty-four-Hour Coverage; Annual Physical Exam; Health Promotion; Addressing unmet health-related resource needs; Transitional care management; Diversion; and Ensuring the minimum contact requirements are met based on the members’ acuity. 
  • Provide Oversight and Management to the Daily Operations of Care Management; Review and Approve Progress Notes/ encounter data and other documentation; Review and analyze data ,reports, and trends in the EHR and Care Management Systems.   
  • Development of positive working relationships with Clinical consultants.  
  • Ensures that beneficiaries are assigned and risks stratified by care management staff 
  • Ensures all operational, administrative, and compliance functions within the department are being properly executed in accordance with regulatory-based best practices. 
  • Assists with clinical needs within the department as it relates to patient care, as needed. 
  • Provides clinical support to tailored care management staff and patients, as needed. 
  • Participates in continuous performance improvement. 
  • Responsible for ensuring that all data requirements are met by working with Carobell, Inc. IT Department 
  • Oversees safe and risk-free environment according to policies and guidelines as applicable by local, state, federal, and accrediting agencies. 
  • Consults with behavioral health and medical providers as needed to ensure quality of care and positive patient experience within the practice. 
  • Works to build active, working relationships with community providers. 
  • Is a role model for staff by adhering to the stated mission, vision, and values of the organization 
  • Assists with promoting collaboration for the patient’s continuum of care with all members. 
  • Promptly submits accurate time records as required. 
  • Holds regular colleague meetings/trainings to maintain open communication. 
  • Participates in case review during huddles 
  • All other duties as assigned. 

Qualifications – Education, Training, and/or Experience 

Knowledge and Competencies: 

  • Demonstrates passion and commitment to excellence 
  • Understands and is able to apply principals of Care Management and Person-Centered Service Planning 
  • Is able to understand and apply coverage guidelines and benefit limitations 
  • Familiar with clinical needs and disease processes for IDD, TBI, Innovation Waiver, and Co-Occurring IDD/Behavioral Health diagnosis in an ethnically diverse, dual-eligible population 
  • Understands and adapts appropriately to issues related to communication, cognitive or other barriers 
  • Ability to lead an interdisciplinary care team 
  • Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner 
  • Comfortable with conducting home visits and commuting within the service area 
  • Possesses basic computer skills and demonstrates a willingness to learn more advanced skills 

 

Education 

Supervising care managers serving members with an I/DD or a TBI must have one of the following minimum qualifications: 

o A bachelor’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area 

and  

Five years of experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI; 

or 

o A master’s degree in a field related to health, psychology, sociology, social work (e.g.,LCSW), nursing, or another relevant human services area, or licensure as an RN 

and 

Three years of experience providing care management, case management, or care coordination to complex individuals with an I/DD or a TBI. 

 

Click HERE to fill out an application.