Clinical Supervisor, Care Management (Medicare)

Reporting to the Manager of Medicare Care Management, the Clinical Supervisor is responsible for the clinical and administrative oversight of their team, consisting of licensed clinical professionals (Registered Nurse Care Managers, Behavioral Health Care Managers) and non-clinical staff (Care Coordinators). You will work together as a care team who are responsible for a caseload of D-SNP members. You are a clinical lead who will represent the needs of their staff and the members served.

Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office.

Salary: $131,000 to $151,000 annual

WHAT YOU WILL DO:

• Responsible for the clinical and administrative oversight of their multidisciplinary care team who are providing care management for high/moderate/low risk members.
• Assist Director and Manager in unified vision to all Care Management, Medicare staff.
• Support in program strategic development; including creation of workflows, desktop procedures, documents, policies and hiring plans.
• Understand and enforce all applicable regulatory and quality requirements for the dual eligible membership (CMS, DHCS, NCQA, and others).
• Oversee the development of interdisciplinary care plans (ICPs).Participate in Interdisciplinary Care Team meetings.
• Review and approve care team member documentation who are unlicensed/non-clinical.
• Provide lead participation in mock and regulator audits, including case preparation, presentation and follow up with Corrective Action Plans (CAP).
• Build and retain engaged staff by using employee engagement data, tools and methods.
• Audit cases to ensure staff understanding and implementation of program priorities and principles.
• Provide regular feedback to supervisees on their work performance, focusing on both areas of strength and opportunities for improvement.
• Resolve daily personnel and performance management issues.
• Work in cohesion with the other supervisors; provide unified direction and oversight to all team members.
• Ensure that daily activities are being monitored with the team.

WHAT YOU WILL BRING:

• A current State of California RN license to practice without restriction; bachelor’s degree in nursing required.
• Minimum of 3 years of care management experience within a managed care setting
• Demonstrated leadership experience with 1 to 3 years of experience in a supervisory or team lead role.
• Experience with the D-SNP population.

WHAT WE OFFER:

• Health Benefits
  • Medical: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
  • Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
• Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
• Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000 members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

Salary : $131,000 - $151,000