Position eligible for – 

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs

See attachment for additional details. 

Location: Mobile position; Available for any of Partners locations

Projected Hiring Range: Depending on Experience

Closing Date: Open Until Filled

Primary Purpose of Position: The Long-Term Services & Supports (LTSS) Care Management Supervisor manages and supervises a LTSS Care Management team. This position is responsible for management duties relating to LTSS treatment planning, assessment, referral/linkage, coordination/collaboration with transitions teams, and monitoring of individuals in identified special healthcare needs populations and at-risk populations. This position requires a dynamic, proactive approach to supervision, assessment, monitoring and comprehensive management of care, to ensure quality supports and consistent adherence to waiver requirements. This is a mobile position requiring work in various locations.

Role and Responsibilities:

• Supervises staff of an assigned LTSS Care Management Team which may include LTSS Care Managers (Qualified Professionals, Registered Nurses, Licensed Clinical Social Workers, Licensed Clinical Mental Health Counselors, etc.)
• Completes weekly, monthly, quarterly, and other performance reporting as required or needed related to individuals categorized as “high cost” “high risk” or “special population”
• Provides communication and technical assistance with providers, members, stakeholders, and other LME/MCO staff regarding LTSS responsibilities and functions
• Creates problem-solving and goal-oriented partnerships with individuals/legally responsible persons, providers, etc. 
• Provides training and instruction regarding LTSS Team meeting facilitation for LTSS members, treatment team planning and the Four Quadrant Care Management Model to staff, community, and stakeholders
• Provides ongoing training and instruction regarding Service Definition requirements, provider network capacity, and medical necessity criteria to staff, community, and stakeholders as needed
• Meets departmental goals to ensure that the following criteria are met for the LTSS Care Management Department:
  • Timely development of the care plan, crisis plan and CMCA (as applicable) 
  • Identification and use of natural/community resources through the assessment/planning process
  • Appropriately review assessments/plans 
  • Services are monitored (including direct observation of service delivery) in all settings
  • Reporting of critical incidents
  • Timely follow-up on any concerns/issues
  • Assist with managing and reviewing clinical documentation (e.g. goals, plans, progress notes, etc.) meet State, agency and Medicaid requirements
  • Medical record compliance/quality, as demonstrated by ensuring ≥95% compliance on Qualitative Record Reviews
  • Assist with monitoring data and data sharing with stakeholders and internal committees; providing updates at scheduled meetings with stakeholders/internal committees documentation of minimum monthly meetings to facilitate communication and develop integrated care practices
• Collaborates with facilities, hospitals, and physicians within LME/MCO area to develop and implement plans, Management of activities, and management of deliverables for individuals categorized as “high cost” or “high risk” or “special population” due to frequent and intensive medical needs
• Provides clinical consultation
  • Ensures continuity of care for intensive crisis services and other levels of care 
  • Conducts chart reviews for care determinations to assist staff with creative problem solving to suggest alternative approaches to care
  • Utilizes clinical knowledge on a range of diagnosis for children and adults
  • Makes sound judgments based on clinical and legal requirements, client needs, and the crisis intervention and recovery model and community resources

Knowledge, Skills and Abilities:

• Comprehensive knowledge of assessment and treatment of MHSU needs, with or without co-occurring I/DD needs
• Extensive knowledge of mental health issues, behavioral health issues, IDD population and pharmacology
• Considerable knowledge of the Medical and MH/SU/IDD service array provided through the network of the LME/MCO’s providers
• Working knowledge of laws, regulations, and program practices/requirements impacting members and families
• Exceptional leadership and interpersonal skills; highly effective communication ability
• Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.)
• Excellent problem solving, negotiation and conflict resolution skills
• Propensity to make prompt, independent decisions based upon relevant facts and established processes
• Detail oriented, able to independently organize multiple tasks and priorities, and to effectively complete reporting measures within assigned timeframes

Education/Experience Required:  

1. Licensure as a Registered Nurse; Master’s-level fully Licensed Clinical Social Worker (LCSW), fully Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Clinical Addiction Specialist (LCAS), fully Licensed Psychological Associate (LPA), fully Licensed Marriage and Family Therapist (LMFT), and 
2. Three (3) years of supervisory experience providing care management, case management, or care coordination to the population being served of a supervising care manager.

Other requirements:

• Must reside in North Carolina.
• Must have ability to travel as needed to perform the job duties

Licensure/Certification Requirements: Licensed Registered Nurse, Licensed Clinical Social Worker (LCSW), fully Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Clinical Addiction Specialist (LCAS), fully Licensed Psychological Associate (LPA), fully Licensed Marriage and/or Family Therapist (LMFT). Employee is responsible for complying with respective licensure board’s continuing education/training requirements in order to maintain an active license.