Supervisor, Healthcare Services

Position Overview

Leads and supervises a multidisciplinary team of healthcare services professionals in functions such as care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care.

Key Responsibilities

• Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance.
• Functions as a “hands-on” supervisor, assisting with assessing and evaluating systems, day-to-day operations and efficiency of services.
• Assists in the coordination of orienting and training staff to ensure maximum efficiency, productivity, program implementation, and service excellence.
• Trains and supports team members to ensure high-risk, complex members are adequately supported.
• Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines.
• Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs.
• Assists with coordination and reporting of department statistics and ongoing client reports, as assigned.
• Local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 5 years of healthcare experience, and at least 2 years of managed care experience in one or more areas such as utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or an equivalent combination of relevant education and experience.
• Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification is required ONLY if mandated by state contract, regulation, or board licensing mandates. If licensed, the license must be active and unrestricted in the state of practice.
• Ability to manage conflict and lead through change.
• Operational and process improvement experience.
• Strong written and verbal communication skills.
• Working knowledge of the Microsoft Office suite.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving, and critical-thinking skills.

Preferred Qualifications

• Registered Nurse (RN). License must be active and unrestricted in the state of practice.
• Certified Case Manager (CCM), Certified Professional in Health Care Management (CPHM), Certified Professional in Health Care Quality (CPHQ) or another relevant certification.
• Medicaid/Medicare population experience.
• Clinical experience.
• Supervisory/leadership experience.

Benefits & Perks

• Competitive Benefits & Compensation Package
• Pay Range: $66,456 - $129,590 / ANNUAL
• Actual compensation may vary based on geographic location, work experience, education and/or skill level.