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Role Description

As the Supervisor, Continuing Care, you will manage daily operations for the assigned department(s), focusing on:

• Clinical resource management
• Transitions of care across the continuum
• Patient advocacy
• Best practice in medical and social necessity determination

You will be responsible for ensuring efficient, compliant, and quality patient services. Key duties include:

• Assigning tasks
• Resolving minor disputes
• Optimizing staff productivity and collaboration
• Program development and alignment for the Enhanced Care Management (ECM) program across California

This role involves:

• Supporting and coaching staff
• Contributing to staff evaluations
• Conducting audits
• Leading performance improvement activities

The Supervisor collaborates with Continuing Care leadership, ensures adherence to organizational objectives, and complies with federal, state, and accrediting body regulations. They also:

• Facilitate communication with colleagues and customers
• Manage staff performance
• Provide training
• Assist with hiring and onboarding

The Supervisor plays a crucial role in:

• Streamlining patient transitions
• Managing high-risk patients
• Preparing the department for accreditation surveys
• Identifying areas for improvement and implementing operational changes

***This position is remote (with a preference for residents of California or Arizona), with an expectation of 25% travel throughout California.

Qualifications

• 3+ years in care coordination, case management, quality, or other outpatient clinical/operations experience
• Bachelor's degree or equivalent experience
• Ability to manage and work closely with interdisciplinary partners in the management of identified patient populations
• Demonstrated ability to oversee a mix of clinical, operational, and business activities related to the team(s)
• Ability to implement specific program goals including high priority project redesign efforts required to improve performance
• Ability to work in partnership with all applicable internal and external customers focused on services to patients
• Ability to assess and report patient status on a periodic basis to all team stakeholders
• Excellent computer skills and ability to learn new systems
• Strong organizational (time management) and interpersonal skills
• Ability to communicate effectively using written and verbal skills
• Knowledge of information technology to evaluate care effectiveness (care process, outcomes, and cost)
• Knowledge of federal and state standards and regulatory requirements as well as accreditation requirements
• Ability to work autonomously within a matrix environment without direct supervision or support
• Ability to handle multiple priorities with strong attention to detail
• Demonstrated ability to set goals either for themselves or others

Requirements

• Knowledge of/experience with CA Medi-Cal program strongly preferred
• Previous experience with Enhanced Care Management (ECM) program preferred
• Previous project management experience preferred

Benefits

• Competitive pay
• Flexible Health & Welfare benefits package
• Cafeteria-style benefit program
• Medical, dental, and vision plans for employees and their dependents
• Health Spending Account (HSA)
• Life Insurance and Long Term Disability
• 401k retirement plan with a generous employer-match
• Paid Time Off and Sick Leave