The Supervisor I-Care Manager provides supervision and oversight to non-licensed/certified Care Managers who support health plan members seeking services within Alliance Health Plans catchment area.   The Supervisor oversees staff conducting assessment of member needs, linking members to network and community resources, developing and monitoring the implementation of plans of care, and addressing the barriers which may be interfering with member’s desired outcomes for a community involved quality life.

This position will allow the successful candidate the ability to work a hybrid schedule.  The selected candidate must be willing to come onsite to the Alliance  Home Office (Morrisville, North Carolina) for in-person meeting and/or trainings as needed. They must also have the ability to travel for business needs in the surrounding community Alliance serves as required.  

Responsibilities & Duties

Supervise and Develop Staff

Work with Human Resources and Unit Manager to maintain and retain a highly qualified and well-trained workforce  Ensure staff are well trained in and comply with all organization and department policies, procedures, business processes, and workflows for care managers working with Innovations and TBI waiver services.  Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements Actively establish and promote a positive, diverse, and inclusive working environment that builds trust   Ensure all staff are treated with respect and dignity Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members Work to resolve conflicts and disputes, ensuring that all participants are given a voice Set goals for performance and deadlines in line with organizational goals, departmental strategic goals and the organization’s vision and values Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional growth and development Cultivate and encourage efforts to expand cross-team/ departmental collaboration and partnerships

Supervise Unit Operations

Ensure that the activities of the Care Management Department are properly and professionally documented within electronic medical record platform per documentation standards for the Care Management Comprehensive Assessment, Care Plans, Documentation notes, quality of ISPs submitted to UM for accuracy and completeness, as well as internal and external email communication Provide administrative oversight for team, identifying when escalation is necessary or when collaboration is warranted utilizing the Multi-Disciplinary team ( MDT) and offering supervision on difficult cases Ensure adherence to agency and departmental policies and procedures to facilitate the functioning of the Care Manager and compliance with agency, state and federal regulations Participate in local, regional, and state meetings as required Ensure care management activities are focused towards Innovations/TBI waiver participants Promote efficient person-centered and whole person care management in compliance with all waiver requirements Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout the Alliance Health Plan catchment area Provide oversight of case record reviews required by the Quality Management department Participate in all related management and clinical team meetings as required Develop and/or assist in the development of policies and procedures pertaining to the implementation and sustainability of the Tailored Plan system of services including the Department of Justice settlement Analyze and monitor community capacity for service needs, service gaps, and the implementation of evidence based/best practices  Ensure appropriate distribution of member assignment based on program population and risk stratification  Oversee the implementation of a system-wide approach to improving the quality and accessibility of services and supports for high-risk  members throughout the catchment area Partner with community stakeholders to assess opportunities and barriers and achieve a seamless and coordinated service delivery system Offer feedback as initiatives are developed  Provide supervision or co-monitoring of field activity for care managers to improve processes, workflows, monitoring and efficiency of field services

Provide Customer Service

Maintain working relationships with providers, community agencies, professionals and other stakeholders Collaborate with other Alliance Departments to meet member and agencies goals

Assure Compliance with Alliance Policies and Procedures

Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures Monitor staff compliance with all Alliance Organizational Policies and Procedures and Care Management Desk Procedures

Support Continuous Quality Improvement

Make recommendations to improve department procedures and increase operational efficiency Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout Alliance

Minimum Requirements

Education & Experience

Bachelor’s degree from an accredited college or university and five (5) years of post-degree experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI

Or

Master’s degree from an accredited college or university and three (3) years of post-degree experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI

North Carolina residency required.

Preferred: Experience with managed care and population health management and experience working for a provider serving persons with LTS support needs preferred. NACCM, NADD and/or CBIS certification preferred. 

Knowledge, Skills, & Abilities

Person Centered Thinking/planning Knowledge of Medicaid basic, enhanced MH/SUD, and waiver benefits plans Knowledge of the NC Division of Mental Health, Developmental Disabilities and  Substance Abuse IPRS Target Populations and Service Array Knowledge of 1915(b) and NC Innovations and TBI Waivers Knowledge of Medicaid and Innovations and TBI Service Array Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws. Knowledge of National Accreditation standards and regulations Knowledge of and skilled in the use of Motivational Interviewing Knowledge of LOC process, SIS for IDD and FASN assessment for TBI Knowledge of Tailored Plan standards and procedures Knowledge of using assessments to develop plans of care Demonstrated knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required Strong interpersonal  skills  Conflict management and resolution skills Strong written and verbal communication skills ISP development training

Salary Range 

$66,240.00-84,456.00/Annually 

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

 An excellent fringe benefit package accompanies the salary, which includes:  

Medical, Dental, Vision, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote options Paid time off including vacation, sick leave, holiday, management leave Dress flexibility