HealthPartners Supervisor, Restricted Recipient Case Management in Bloomington, Minnesota
Supervisor, Restricted Recipient Case Management
- Job ID:
Health Plan Case Mgmt
HP - Bloomington 8170 Office Bldg
- Position Type:
- Anticipated Work Schedule:
M - F, 8am - 5pm
- Hrs/Pay Period:
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We currently have an exciting opportunity for a Supervisor in Disease and Case Management, supporting the Restricted Recipient team. This role will provide leadership and supervision for a team of Case Managers/Care Coordinators, including hiring, orientation, and performance monitoring and staff development in order to effectively meet the goals of the program. Provide day-to-day consultation and support to staff with questions, issues, and challenging cases. Monitor the work and workload of all team members, including case audits and reports to identify opportunities for coaching and/or quality improvement. Lead Quality Improvement and process improvement activities at the individual team level and across teams.
Join our growing organization on our exciting mission to improve health and well-being! At HealthPartners, you will find a culture of excellence, compassion, integrity and most importantly, partnership. By working together in the spirit of partnership, we will improve health and wellbeing, create exceptional experiences for those we serve and make care and coverage more affordable. Picture yourself at HealthPartners and imagine the future successes we could achieve together!ACCOUNTABILITIES:
Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.
Build effective relationships throughout the department and with other partners in care, and inspire staff to achieve excellence in the daily operations of Case Management.
Embrace change. Create an environment that encourages creativity, independence, and willingness to change in Case Management team members.
Consistently apply HealthPartners organizational and department values (missions / vision / initiatives) and continuous quality improvement principles in relationships, daily work, and program supervision.
Ensure all staff, processes and programs are member-focused, resulting in high levels of member/patient/family, colleague and team member satisfaction.
Thorough knowledge of how to access and understand member benefits / coverage / payor information.
Relationship and Team Building:
Establish and maintain good working relationships within Case Management Department, with other HealthPartners departments, to facilitate excellence in Case Management processes and outcomes.
Create and maintain a cohesive Case Management team by facilitating a collaborative, respectful, diverse environment.
Program Supervision and Evaluation:
Become an expert on all program workflows and regulatory elements, seeking additional education as needed.
Evaluate current processes to identify needs and opportunities to improve the Case Management program.
Work with Program Manager, Case Management, to ensure implementation of new department programs and initiatives in a timely and effective manner.
Work with Program Manager to ensure compliance with Medicare / Medicaid contract requirements and regulations.
Monitor for education/training needs. Once identified, facilitate implementation of training for appropriate staff.
Review and consult on complex cases as identified by program criteria.
Staff Selection and Development:
Provide supervision, guidance, coaching, and development of staff.
Provide ongoing performance feedback to staff members, and complete annual reviews on a timely basis.
Complete one on one meeting and site visits with staff to evaluate performance to ensure compliance with Case Management policies and procedures promoting consistency with care coordination activities.
Recruit and select new staff in coordination with Program Manager, Case Management.
Orient new staff with ongoing evaluation of orientation process.
Monitor staffing and recommend adjustments to Program Manager as needed.
Promote staff development in assignment of special projects, ongoing independent study, education-related professional activities, and professional affiliations to maintain and increase knowledge in the areas of Case Management.
Review feedback from Patient Satisfaction Surveys and Service Recovery logs and share this with staff including coaching as appropriate.
Communicate with members, families, physicians and staff to facilitate successful daily operations of the Case Management Program.
Maintain confidentiality of information in accordance with department and corporate policies.
Collaborate with internal departments, according to co-management principles for patient-centered care.
Maintain knowledge of and effectively use automated applications and systems.
Understand the data and reports available to maximize their use and value.
Implement strategies to ensure efficiency and productivity through proficient use of automated systems by Case Management staff.
- Participate in ongoing independent study, education-related professional activities, and professional affiliations to maintain and increase knowledge in the areas of Case Management.
Participate in various committees, task forces, projects, and quality improvement teams, as needed and assigned.
Perform other duties as assigned.
Registered Nurse with current license in the State of Minnesota (BSN preferred) OR LSW Social Worker for MSHO or MSC+ (LISW preferred).
Certification as a CCM, CMC or equivalent certification, with achievement of certification within 18 months of employment.
Minimum of 3 years clinical practice experience.
Minimum of 3 years’ experience in case management.
Demonstrated effective leadership and supervisory skills.
High level of expertise in written, oral, and interpersonal communication.
Demonstrated skill in effective use and management of automated medical management systems.
Demonstrated ability to function independently and cooperatively.
Understanding of healthcare and/or HMO industry.
Demonstrated experience in hiring, orientation, coaching, and team building of professional staff.
Demonstrated flexibility and organization.
Demonstrated appropriate decision making under challenging situations.
HealthPartners is recognized nationally for providing outstanding care and experience for patients and members. We offer an excellent salary and benefits package. For more information and to apply go to www.healthpartners.com/careers and search for job ID #54642.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.