Care Manager Supervisor in Bronx, New York at PROMESA R.H.C.F.

MISSION STATEMENT:

Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of underserved communities in New York City and beyond. We are one of the leading human services organizations in New York City and the largest Hispanic-led nonprofit in the State, serving over 150,000 individuals every year. Our programs serve individuals at every age and developmental level, from the very young through our daycare programs to mature adults through our older adults centers. Our extensive array of community-based services are fully integrated, bilingual and culturally competent.

POSITION OVERVIEW:

The Adult Care Management Supervisor is responsible for maintaining the quality and effectiveness of clinical services of the health home programs. The position incorporates direct staff supervision and a range of administrative tasks related to clinical operations and as assigned by the program director. The staff is responsible for maintaining BAHN regulatory compliance, to provide comprehensive leadership and supervision to the health home team of care managers. Be an integral part of the health home leadership team to educate, provide insight, ensure quality, and engage in member retention.

Under supervision of the program director, the requirements listed below represent the knowledge, skill, and/or ability required. The provider ensures strengths based; person centered quality of care provided in a meaningful therapeutic environment. Reasonable accommodations may be made to enable individuals with disabilities as defined by the Americans Disability Act to perform the essential functions of the job. The functions below outline the general responsibilities associated with this position. Each of these functions is considered critical to effectiveness of the health home department operations and the agency mission. It is expected that all staff in this position will have satisfactory attendance and will perform these functions as assigned in a competent, cooperative, and timely manner. The job description will be reviewed periodically for accuracy and/or adjusted according to business necessity.

KEY ESSENTIAL FUNCTIONS:

• Provide leadership and ongoing supervision to care management staff.
• Provide ongoing oversight and ensure quality assurance regarding care management outreach, engagement, and coordination activities.
• Review, approve, completed as needed, and sign off on clinical documentation including but not limited to, comprehensive assessments and plans of care.
• Manage the overall care management document submission process as it relates to compliance with monthly billing and coordination services.
• Educate and provide recommendations for member care coordination activities/services.
• Review, assign and manage member enrollment to care management staff.
• Adhere to the standards, policies and procedures, and goals of the Health Home program and funding sources.
• Responsible for all member related documentation in the assigned portals and compliance in accordance with the Health Home program regulations.
• Act as a liaison in coordinating and documenting member care activities with staff, internal and external service providers.
• Perform other appropriate duties as requested by administrator and program director
• Participate in staff and organizational meetings as required.
• Participate in all programs related auditing.
• Work closely with program director on special projects, assessments, and completion on any staff training need etc
• Participate and perform in quality assurance/quality improvement processes.
• Provide onboarding training to staff based on health home clinical documentation standards and/or assign by program director.
• Conduct ongoing supervision with care managers to reiterate policy and procedure and health homes documentation workflows.
• Review potential disenrollment with care management staff to ensure quality disenrollment as well as increase member retention.
• Responsible for managing staff timesheet/payroll submission.
• Attend internal and external trainings for personal and professional development.
• Conduct staffing interviews.
• Responsible for conducting case conference as requested.
• Evaluate care managers on work performance and complete annual evaluations and development plans.
• Responsible for staff timely completion of internal and external required assessments (ex. Comprehensive Assessments, Eligibility and Appropriateness Assessment, plan of care, consents, HARP, etc).
• Rotation of work phone for the 24 afterhours hotline to obtain client’s information by answering telephone calls, interviewing clients, and verifying information

REQUIREMENTS:

• Master’s degree in Health, Human Services, Mental Health, Social Work and one year of supervisory experience and one year of qualifying experience** in Mental Health or social service setting; OR
• Bachelor’s degree in Health, Human Services, Mental Health, Social Work and three years of supervisory experience and three years of qualifying experience** in Mental Health or social service setting.
• Core competency trainings completed within the first 18 months of employment, AND
• A minimum of 70 hours annually thereafter.
• Must obtain Mandated reporter (2 hours) prior to hire date.
• Website info: https://nysmandatedreporter.org/TrainingCourses.aspx
• Bilingual (Spanish) strongly preferred.
• Ability to use business acumen to exercise good judgment and decision-making.
• Ability to deal with sensitive issues with diplomacy and discretion.
• Must be able to multitask with strong organizational skills.
• Excellent interpersonal skills and able to communicate both verbally and in written form.
• Commitment to cultural diversity and sensitivity.
• Ability to maintain a professional demeanor under pressure, and operate with a keen sense of urgency and commitment to quality.

**Qualifying experience means verifiable work with target populations including individuals with HIV, history of mental illness, homelessness, or substance use.

WHY JOIN US?

Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid holidays, to support a healthy work-life balance. We prioritize the well-being of our employees both professionally and personally.

As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.