Case Management Supervisor
$70,000–$83,000 year
On-siteHonolulu, Hawaii, United States
Job Summary
Monitor and review care management documentation to maintain compliance with federal, state, and contractual regulations. Assign caseloads to staff based on state requirements, experience, and member needs while evaluating team performance and providing feedback on goals and career milestones. Guide junior team members through escalated complex cases related to behavioral health and provide coaching on care plan options, referrals, and benefits. Assist with onboarding, hiring, and training new team members, and participate in workflow design to improve efficiency. Upon crisis notification, triage cases and activate emergency services when imminent danger is suspected. Maintain accurate documentation in computer systems and ensure adherence to HIPAA standards and quality metrics. Perform regular audits of staff assignments and provide candid peer-review feedback to leadership.
Required Qualifications
- Associate's degree in health care administration, Nursing, Long Term Services and Supports, Public Health, or related field or equivalent combination of education and experience
- Minimum of 4 years of experience in related field
- Minimum of 1 year of experience leading/managing and developing a team
- Experience with serving members in the community
- Health plan experience with case management responsibilities
- Experience with Medicare / Medicaid programs
- Experience with individuals who have special health care needs, including HIV/AIDS, developmental disabilities, medically fragile, older adults, individuals with physical disabilities, housing insecurity, mental health and substance use disorder and other vulnerable needs
- Previous experience in utilization management, discharge planning and/or housing resources
- Achieves results, builds trust, communicate effectively, customer and quality focused
- Excellent interpersonal skills with the ability to communicate with all levels of the organization
- Strong interpersonal, facilitation and leadership skills with ability to interact with various departments/ project teams
- Excellent, effective, and precise written and oral communication skills; speak clearly and persuasively in positive or negative situations
- Ability to organize, coordinate and supervise large projects in a timely, creative and effective manner
- Ability to solve problems, analyze, think critically, make good judgment and make fair decisions
- Experience in project management, management reporting and analysis and excellent in building, maintaining and working with spreadsheets
- Able to effectively and methodically implement, manage, monitor, track and/or report on assigned tasks and projects
- Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment
- Possesses excellent time management and organizational skills; is dependable, enthusiastic, self-starting, and self-motivated. Uses time effectively, reacts professionally under pressure
- Demonstrated strong skills in providing solutions and/or trouble shooting complex issues
- Excellent leadership, communication, and analytical skills
- Strong customer service skills and able to work in a diverse, demanding and evolving environment with strong conflict and problem resolution skills
- Intermediate skills in Microsoft Programs: Word, Excel, Outlook and PowerPoint
- Experience in the operation of general office equipment to include PC, fax/copy machine and phone system
- Possession of a current valid Hawaii driver's license and access to an insured automobile
- TB Clearance
- CPR Certification
- Work evenings and weekends as needed as the need for services arises
- Possible interstate travel with occasional overnight stay
Desired Qualifications
- Licensed RN with BH experience, LPN, LCSW, LSW, LMHC, LMFT or CSAC in the State of Hawaii
- Bi-lingual in any of the following languages preferred: Ilocano, Tagalog, Mandarin Chinese, Japanese or Korean
- Ability to communicate using American Sign Language
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