Medicare Integrated Care Management Supervisor (RN or LCSW)
$107,644–$138,271 year
On-siteSouth San Francisco, California, United States
Job Summary
Develop, manage, and lead a multidisciplinary care team by modeling accountability and fostering psychological safety. Supervise and coordinate care management services, establish efficient workflows, and address implementation barriers. Conduct one-on-one conversations focused on performance, development, and career growth while supporting direct reports in meeting operational, clinical, and compliance standards. Create and revise workflows, job aids, and training materials to promote continuous quality improvement. Facilitate interdisciplinary team meetings, case conferences, and huddles to drive goals focused on health outcomes and member experience. Maintain backup coverage for clinical and non-clinical staff needs, manage special projects, audits, and reports, and support the development of quality assurance programs. Lead hiring, onboarding, and evaluation of new staff while partnering to identify training needs and develop educational programs. Ensure compliance with labor laws, CMS, NCQA, DHCS, and other governing regulations.
Required Qualifications
- RN or LCSW licensure
- Bachelor's degree in nursing, psychology, or social work
- Valid CA Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW)
Desired Qualifications
- Master's degree
- Three (3) years of care management experience
- At least one (1) year of supervisory experience in a health care or managed care setting
- Advanced organizational and time‐management skills
- Ability to provide supervision, guidance, and support to a multidisciplinary team
- Intermediate Microsoft Office Suite application skills
- Intermediate skills in developing and maintaining effective interpersonal relationships with providers, members, community partners, public agencies, and government programs
- Extensive knowledge of health care and/or community case management models
- Working knowledge of Medicare and Medi-Cal regulations and requirements related to care coordination, case management, transitions of care, and documentation standards
- Working knowledge of compliance standards in CMS, NCQA, DHCS, CalAIM, HIPAA and organizational care management
- Demonstrated ability to lead and collaborate effectively with diverse teams and partners to achieve outcomes
- Demonstrated ability to interpret clinical information and support staff in applying evidence‐based care management approaches
- Ability to use care management platforms and electronic documentation systems to guide staff and monitor performance
- Demonstrated ability to support change management and operational implementation of new programs, policies, or regulatory requirements
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