Collaborative Care Program Supervisor in Jacksonville, Florida at ANGEL KIDS PEDIATRICS, P A

Description
Duties and Essential Job Functions:
• Provide strong leadership to a team of collaborative care coordinators, fostering a culture of collaboration, accountability, and continuous improvement.
• Provide support to the Manager for guidance and support of team members in executing their responsibilities, ensuring effective communication and coordination among team members and other stakeholders
• Demonstrate advanced knowledge and skills in care coordination, ensuring seamless integration of healthcare services and resources
• Create community partnerships that are dedicated to helping children and families overcome barriers as referral sources
• Assist with the oversite of team members development and quality of care plans to optimize patient outcomes and enhance the quality of collaborative care.
• Follow up with families on needs and transitions of care
• Maintain a reduced collaborative care case load and provide coverage and back up to other team members
• Work collaboratively with other leaders to align the collaborative care program with organizational goals and objectives, driving continuous improvement and innovation.
• Assist with establishing, tracking and monitoring performance metrics
• Ensure compliance with relevant regulations, standards, and best practices, and lead efforts to continuously improve processes and outcomes to meet or exceed established benchmarks
• Coordinates care with state agencies, schools, behavioral health agencies and community providers, to problem solve any issues and ensure effective resources are in place.
• Oversee the insurance verification and authorization process to ensure accurate and complete insurance information is obtained for all patients. This includes verifying insurance coverage, obtaining pre-authorizations when required, and initiating appropriate procedures to maintain up-to-date insurance information.
• Supervise billing ensuring proper use of the new Collaborative Care Model (CoCM) CPT codes correctly, including 99492, 99493, 99494, and G2214, to accurately bill for services provided under the collaborative care model. This involves training staff on proper code usage and ensuring compliance with billing requirements.
• Other duties as assigned
License/Certification/Education:
Bachelors degree from an accredited College or University in a human services related field is required. Master’s Degree or Licensed Clinical Professional preferred.

Qualifications:
• A minimum of 3 years of experience in case management or service coordination required.
• A minimum of 2 years of experience in a supervisory role or 5 years of experience in a directly related or lead role
• Experience and skill working with children and families who may be identified as high or at risk.
• Knowledge of regulations and laws relating to clinical psychology/social work practices.
• Experience with Grant compliance and oversight
• Experience with behavioral health and mental health conditions
• Strong interpersonal skills and ability to communicate effectively with families, colleagues (e.g. physicians, psychologists, social workers, and other team members), community agencies, etc.
• Proficiency in behavioral health billing and insurance verification.
• Working knowledge of basic computer software programs: MS Office and EMR.