HSCSN Supervisory Care Manager

Kids Are Our Everything.

Department

10514 HSCSN - Care Management

Pay Range

$77,646.40 - $129,396.80

The Supervisory Care Manager is responsible for the mentoring, training and clinical supervision of care management staff and oversight of staff caseloads of enrollees who have mild to complex medical and mental/behavioral health needs. This position has a broad knowledge base related to the needs of the Medicaid population and is an integral member of the Care Management Leadership team. The Supervisory Care Manager supports the operations of the Care Management Department through monitoring of staff's adherence to quality and productivity standards; assisting with responding to enrollee's needs; and providing clinical supervision and leadership for compliance and performance improvement.

Minimum Education
Bachelor's Degree Nursing, Social Work, Health Services (Required)
Master's Degree Nursing, Social Work, Health Services (Preferred)

Minimum Work Experience
3 years progressive supervisory experience preferred (Preferred)
3 years of related experience in managed care and /or care management preferred (Preferred)

Required Skills/Knowledge
Understanding of Medicaid benefits
Excellent verbal and written communication skills
Familiarity with computer systems and applications. Computer literate in Microsoft suite
Strong organizational skills
Ability to interpret and apply departmental requirements
Ability to make sound decisions and use good judgment
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practice

Required Licenses and Certifications
Ind. Clinical Social Worker Licensed in District of Columbia Upon Hire (Required) Or
Registered Nurse Licensed in District of Columbia Upon Hire (Required) Certification in Case Management (Preferred)

Job Functions
Essential job duties:

• Responsible for day to day operations of an assigned team

• Responsible for a team of up to 12 licensed and unlicensed care management staff

• Reviews cases regularly with staff; acts as a clinical consultant regarding care management issues; guides clinical staff with review of assessments and care plans, evaluates utilization reviews and/or documentation

• Assists Associate Directors and Director in establishing, implementing, and ensuring care management policies, practices, and procedures are in place

• In conjunction with the Associate Directors and Director, coordinates, develops and implements action plan to respond to areas of need

• Leads and offers expert guidance and direct supervision to the team in aspects of care management: assessment, planning and implementation, coordination

• Assist the team with monitoring, and evaluation of options and services to meet the routine and complex health and behavioral health care needs of members

• Monitors work performed by team members according to organization, department and community standards

• Monitors productivity through the use of various reports to support appropriate outcomes and assign corrective action plans to staff as needed for immediate review and resolution

• Conducts regular team meetings in accordance with contractual agreement and as needed

• Responsible to complete all annual performance reviews for assigned staff

• Applies advanced problem-solving and analytical skills to evaluate and address complex situations involving members, providers, staff and community professionals

• Submits routine and special reports as assigned or requested.

• Participates in internal and external multidisciplinary team meetings.

• Attends/conducts meetings internally or externally with other government agencies or community organizations involved with enrollees in the health plan as needed

• Conducts weekly/bi-weekly supervision with assigned staff

• Responsible for oversight of assigned staff in maintaining caseload and contractual compliance metrics

Supervisory Care Manager (Special Populations):

• The responsibilities of the Care Management staff assigned to these populations are inclusive of the duties outlined above with further detail in their respective program description and/or policy.

Other job duties:

• May perform other duties in addition to those outlined in this job description

The disclosed salary range includes the minimum and maximum rates within which Children’s National believes an individual’s base pay rate will fall for this position. It is not typical for an individual to be hired at or near the maximum of the pay range. The exact pay rate for this position will be based on a variety of factors in alignment with the Children’s National compensation philosophy. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications. Children’s National is committed to providing a fair and competitive total rewards package to each of our employees. This base salary range does not include our comprehensive benefits package or any additional compensation for which this position may be eligible.

Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your RightsPay Transparency Nondiscrimination Poster.

Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.