TCL Complex Care Clinical Supervisor, RN (Remote Option)

Competitive Compensation & Benefits Package!

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
• Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details.

Location: Remote option; Available for any of Partners' locations

Projected Hiring Range: Depending on Experience

Closing Date: Open Until Filled

Primary Purpose of Position: The TCL Complex Care Clinical Supervisor is responsible for providing supervision to the TCL Complex Care Team consisting of Occupational Therapists, Registered Nurses, and Certified Occupational Therapy Assistants. This position is responsible for management duties relating to the referral, completion, and submission of required recommendations and monitoring of complex care coordination for the physical, mental health, and social determinant needs of TCL members. This position will monitor the team’s evaluation/recommendations for members transitioning from adult care homes into the community and the effective collaboration with TCL transition staff, Service Providers, medical providers and other identified supports. This position will also be responsible for continued development of the Complex Care team Model and tracking outcome data. This position requires a dynamic, proactive approach to supervision, assessment, monitoring, and comprehensive coordination of care that will ensure quality supports and consistent adherence to waiver requirements. This is a mobile position requiring work in various locations throughout Partners Health Management catchment areas and beyond.

Role and Responsibilities:

• Supervises staff of an assigned Complex Care Team members to include OT, RN, COTA positions.
• Conducts weekly team meetings
• Attends treatment team meetings and participates in staffing calls.
• Assists team to identify gaps in services and
• Ensures timely completion of tasks.
• Completes monthly staff individual supervision and chart reviews.
• Collaborates with team, department, and PHM Leadership to continue to build the Complex Care team and increase the team’s effectiveness and outcomes.
• Identify, Manage, and Track data outcomes
• Monitor documentation in TCL systems
• Monitor team engagement with members for best practice, ensure communication is clear and well documented by the team.
• Promotes and facilitates communication and collaboration across PHM departments
• Provides communication and technical assistance with providers, members, stakeholders, and other LME/MCO staff regarding TCLI responsibilities and functions
• Creates problem-solving and goal-oriented partnerships with individuals/legally responsible persons, providers, etc. 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 MHSU/TCL department
  • Timely development of the person-centered plan, crisis plan and Behavior Support Plan (as applicable)
  • Identification and use of natural/community resources through the assessment/planning process
  • Appropriately updated 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
  • Timely submission of authorization requests for all LME/MCO funded services/supports
  • All 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; Collaborates with CCNC, hospitals, and physicians within LME/MCO area to develop and implement plans, coordination 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 providers with creative problem solving to suggest alternative approaches to care
• Utilizes clinical knowledge of a range of mental health and substance use 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
• Attendance and participation in Leadership meetings within PBH, DHHS, DMA, DOJ.

Knowledge, Skills and Abilities:

• Comprehensive knowledge of assessment and treatment of MHSU needs, with or without co-occurring I/DD needs, and physical health needs.
• Considerable knowledge of the MH/SU/IDD service array provided through the network of the LME/MCO’s providers
• Considerable knowledge of Transitions to Community Living.
• 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 (RN), and

2) Three (3) years of 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

Education/Experience Preferred: Above Requirements

Licensure/Certification Requirements: Licensure as a Registered Nurse (RN).

Employee is responsible for complying with respective licensure board’s continuing education/training requirements in order to maintain an active license.