Job Summary:

The Health Home Care Manager Supervisor (HHCM Supervisor) ensures the care management team is operating effectively and efficiently within the guidelines of the required Health Home Core Services. The HHCM Supervisor assesses the care management team to address barriers to health care, including but not limited to financial management, housing, transportation, social support, and understanding of health conditions. The HHCM Supervisor is required to utilize problem-solving skills and clinical expertise to oversee the delivery of members’ services by the HHCMs and conduct administrative responsibilities of assigned staff. The HHCM supervisor is responsible for monitoring the referral process to ensure outreach and timely enrollment occurs. It is the HHCM supervisor role to ensure that assigned staff foster a coordinated approach to achieve a detailed understanding of the health focused work, service plan development, case coordination, linking, advocacy and monitoring of their members. The supervisor will serve as a support and resource to educate and promote HHCMs to focus on providing quality delivery of services to participating members and ensure the services are designed to address the unique needs and strengths of each member.

Essential Job Functions:

• Oversee HHCMs’ functions in the delivery of a health focus approach consisting of providing the six core services for health home management for all members on their caseload in conjunction with acuity

• Ensure that HHCMs complete required Face to Face contacts and all complete all required documentation including but not limited to Plan of Care (POC), Medicaid CANS, and progress notes into the Health Home IT platforms within the required time frames

• Oversee the Care Management teams to ensure programmatic compliance with Federal, State, and City regulations in the delivery of quality services to members.

• Conduct quality assurance audits and activities to assess the effectiveness of services delivered, ensure documentation in member charts and/or electronic health records (EHRs) are in compliance.

• Provide clinical consultation to assist the HHCM with promotion of motivational interviewing, member contributions to their POC, and reinforcement of self- management skills.

• Assign cases to HHCMs

• Monitor service provision to ensure billing occurs

• Work closely with the finance department on claims submissions and reconciliation process

• Ability to work from a team approach and provide coverage as needed.

• Work collaboratively with all relevant stakeholders to assess the member’s needs for HH services.

• Participate in all required internal and external trainings.

• Attend care planning meetings when needed, ad hoc meetings, and provide on-going supervision

• Overall responsibility for maintaining census, which involves intake, enrollment and discharges of members

• Ongoing monitoring and evaluation of the health home program to ensure that short and long term client and programmatic goals are successfully achieved

• Participate in policy development and continuous quality improvement activities.

• Overall responsibility for the selection and termination of staff, in consultation with Human Resources

• Provide after-hours coverage as necessary.

• Evaluate all HHCMs on a regular and timely basis.

• Represent the agency and program at internal and external meeting as needed

• In tandem with the rollout of Medicaid Managed Care, ability to review, adhere, collaborate and coordinate with all Managed Care Organizations (MCOs), State Plan Amendment (SPA), and Home Community Based Services (HCBS) providers on reviewing the POC and ensuring the delivery of the appropriate provision of services

• Other duties as assigned

  
  

  Education and Experience Required:

• A Master’s Degree in Social Work, Psychology, Public Administration, Health Care or hospital administration with a minimum of two years of relevant experience or a Registered Nurse with a minimum of two years of relevant experience. Relevant experience must include supervisory or managerial experience of a mental health program and/or medical health program, providing service coordination and information, linkages, and referrals for community-based services to children with special needs, complex trauma, and/or individuals with disabilities.

• Solid organizational and follow-up skills
• Computer Literacy –learn and adapt to different IT platforms
• Ability to manage and work with a variety of different people
• Flexibility to travel throughout NYS
• Maintain confidentiality
• Ability to be flexible with programmatic needs and changes
• Capable of clear direct communication with others (oral and written)

Knowledge and Skills Preferred:

• Engagement and Outreach
• Safety in the Community
• Person Centered Planning
• Cultural Competency/Awareness
• LGBTQ Issues
• Bilingual/Spanish preferred

Physical Requirements:

• While performing the responsibilities of the job, the employee is required to occasionally move about inside the office to access file cabinets, office machinery, etc.
• While performing the responsibilities of the job, the employee is required to constantly operate a computer and other office productivity machinery (i.e., a calculator, copy machine, and computer printer).
• While performing the responsibilities of the job, the employee is required to frequently communicate with members/employees who have inquiries about services that you are providing. Must be able to exchange accurate information in these situations.

Required Certification/Licensing:

• Medicaid CANS certification and on-going recertification
• Mandated Reporting
• Trauma Informed Care
• All other required trainings

$65,400 - $80,000

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required.