Care Management Supervisor (Administration)

This is a full-time position. Monday-Thursday 8:00 am-6:30 pm pm.

POSITION SUMMARY

The Care Management Supervisor is responsible for supervising the day-to-day activities of AH's Care Managers, including monitoring productivity, time and attendance and the quality and timeliness of services provided. The Care Management Supervisor is also responsible for providing the services of a Care Manager and as such is responsible for providing and coordinating health risk assessments and interventions for patients identified with chronic, complex, care needs. Works collaboratively as part of the care team to implement evidence-based series, protocols, and methods for patients referred for care management services by their AH primary care provider (PCP). The Care Management Supervisor also is responsible for developing collaborative relationships with the discharge planners at the hospitals in AH's service area to ensure timely follow-up care for AH patients discharged from local hospitals. This position reports to the Chief Medical Officer.

ESSENTIAL DUTIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative (but not all inclusive) of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISORY RESPONSIBILITIES

• Manage workload distribution for AH's Care Managers.
• Monitor time and attendance and productivity of Care Managers.
• Evaluate quality and timeliness of Care Manager services and the quality of the documentation of these services through periodic review of patient charts and tracking tools.
• Daily monitoring of Group NextGen clinical task inbox and Group voicemail to ensure messages/tasks are being retrieved and addressed.
• Provide performance improvement feedback/training to assigned staff as necessary to correct deficiencies.
• Ensure Care Managers are trained and cross-trained as appropriate and have access to required portals/databases to identify patient care needs.
• Document identified performance deficiencies for assigned staff, including the performance improvement expectations and the subsequent progressive disciplinary action should performance not improve.
• Conduct required evaluations for assigned staff for quality performance against position description, agreed upon goals and procedure requirements.
• Ensure the timely completion of required operational paperwork (i.e. - staff schedules, supply orders, incident reports, etc.).
• Ensure compliance with medical records procedures and the confidentiality of patient records.
• Participate in the interview process for employment candidates and making hiring recommendations to the Chief Medical Officer.
• Provide job orientation and training to new employees; assigning mentors to new employees; and, evaluating performance to determine readiness to carry out job duties independently.

CARE MANAGER RESPONSIBILITIES

• Ensure systematic use of a health risk assessment (HRA) for patients deemed eligible for care coordination.
• Conduct more comprehensive HRA, if needed, to detect level of care coordination needs.
• Understand the role and use of clinical protocols and standing orders for chronic disease management and within the scope of work of the care coordinator background. Know how to use other team members as appropriate to co-manage each patient's needs and conditions.
• Work with a patient in the creation of a care plan, or in review and update if there is an existing care plan.
• Use a variety of education materials, brief intervention techniques, and community resources to engage patients, increase their motivation to change, and support patients in establishing behavior change goals and implementing plans to meet those goals.
• Establish a follow-up schedule and monitor patient's progress, using an electronic care management tracking system.
• Maintain accurate and up-to-date records and standardize data on all patients.
• Clearly and effectively communicate with the patient, PCP, and any external providers, including informing the PCP about the patient's progress; discussing the care plan with the PCP and other care team members as needed; and discussing changes in the care plan.
• Develop a maintenance plan with patients, when appropriate, to help them maintain a healthy lifestyle and prevent a reoccurrence of symptoms of their chronic condition(s).
• Close care gaps for patients identified by AH's Medicare ACO or commercial insurance partners.
• Other duties as assigned.

CERTIFICATE AND LICENSES

• Current valid Florida LPN license
• Current Basic Life Support certification or agreement to obtain by the completion of the ninety-day introductory period

EXPERIENCE

• Three to five years experience in a healthcare (preferably FQHC) setting, with increasing levels of responsibility