Supervisor Of Restricted Recipient Case Management

HealthPartners is currently hiring for a Supervisor of Restricted Recipient Case Management. We are a nonprofit integrated care delivery and financing system based in Bloomington, MN. At HealthPartners, you’ll find a culture where we live our values of excellence, compassion, integrity, and partnership. By working together, we will improve health and well-being, create exceptional experiences for those we serve and make care and coverage more affordable. We seek colleagues who wish to help advance diversity, equity and inclusion and foster an environment where everyone feels welcome, included, and valued.

This position exists to provide leadership and supervision for a team of Case Managers/Care Coordinators, including hiring, orientation, 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.

ACCOUNTABILITIES:

Leadership:

• 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.
• Consistently apply HealthPartners organizational and department values (missions / vision / initiatives) and continuous quality improvement principles in relationships, daily work, and program supervision.
• Embrace change. Create an environment that encourages creativity, independence, and willingness to change in Case Management team members.
• 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.

Member Focus:

• 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:

• Monitor for education/training needs. Once identified, facilitate implementation of training for appropriate staff.
• Become an expert on all program workflows and regulatory elements, seeking additional education as needed.
• Work with Program Manager, Case Management, to ensure implementation of new department programs and initiatives in a timely and effective manner.
• Review and consult on complex cases as identified by program criteria.
• Work with Program Manager to ensure compliance with Medicare / Medicaid contract requirements and regulations.
• Evaluate current processes to identify needs and opportunities to improve the Case Management program.

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.
• Review feedback from Patient Satisfaction Surveys and Service Recovery logs and share this with staff including coaching as appropriate.
• Monitor staffing and recommend adjustments to Program Manager as needed.
• Recruit and select new staff in coordination with Program Manager, Case Management.
• Orient new staff with ongoing evaluation of orientation process.
• 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.
• 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.

Communication:

• 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.

Technology:

• Understand the data and reports available to maximize their use and value.
• Maintain knowledge of and effectively use automated applications and systems.
• Implement strategies to ensure efficiency and productivity through proficient use of automated systems by Case Management staff.

Personal Development:

• Participate in ongoing independent study, education-related professional activities, and professional affiliations to maintain and increase knowledge in the areas of Case Management.

Other Duties:

• Perform other duties as assigned.
• Participate in various committees, task forces, projects, and quality improvement teams, as needed and assigned.

REQUIRED QUALIFICATIONS:

• Demonstrated skill in effective use and management of automated medical management systems.
• Registered Nurse with current license in the State of Minnesota (BSN preferred) OR LSW Social Worker for MSHO or MSC+ (LISW preferred).
• Demonstrated ability to function independently and cooperatively.
• Demonstrated appropriate decision making under challenging situations.
• Demonstrated experience in hiring, orientation, coaching, and team building of professional staff.
• Minimum of 3 years clinical practice experience.
• High level of expertise in written, oral, and interpersonal communication.
• Minimum of 3 years experience in case management.
• Certification as a CCM, CMC or equivalent certification, with achievement of certification within 18 months of employment.
• Demonstrated effective leadership and supervisory skills.
• Understanding of healthcare and/or HMO industry.
• Demonstrated flexibility and organization.

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/careersand search for Job ID #70144.

Job Type: Full-time

Pay: $85,000.00 - $100,000.00 per year

Benefits:

• 401(k) matching
• Health insurance
• Health savings account
• Tuition reimbursement
• Flexible spending account
• Paid time off
• Dental insurance
• 401(k)

Schedule:

• Monday to Friday
• 8 hour shift
• Day shift

Work Location: Remote