[Hiring] Supervisor, Care Coordination @Alignment Health

Role Description

The SNP Care Management team is responsible for the health care management and coordination of care for SNP members with complex and chronic care needs. The Supervisor, Care Coordination SNP, works with the SNP Manager to assure compliance with CM program requirements as outlined in the Model of Care. This includes the monitoring of activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development, and Interdisciplinary Care Team (ICT) delivery for SNP members. Additionally, the Supervisor, Care Coordination SNP, oversees the Care Coordinator SNP team.

The Supervisor, Care Coordination SNP, is responsible for the following functions to support the SNP Care Management program:

• Create and maintain an environment that inspires and encourages the growth and engagement of team members.
• Provide guidance to staff or directly manage complicated coordination requests from members, providers, or staff.
• Assist with the development and oversight of SNP Care Coordination programs, projects, and workflows.
• Development of standard operating procedures (SOP) and reports.
• Collaborate with other supervisors and managers in the department to improve processes and workflow.
• Act as a resource to the members, providers, and community partners.
• Communicate effectively, both verbally and in writing, including presentations as required.
• Establish and maintain effective interpersonal relationships with staff at all levels, providers, other departments, or programs.
• Build team engagement.
• Communicate with internal and external customers in a professional manner and follow through on commitments.
• Initiate and follow through on projects.
• Work well as part of a team to manage/lead multiple projects simultaneously.
• Think critically to solve problems effectively.
• Work closely as a liaison between management and the team to ensure that new cases assigned are touched in a timely manner.
• Review reports on program performance, identify reporting opportunities and gaps to ensure the effective delivery of the SNP program.
• Participate in SNP quality audits including CMS program audits and vendor audits to assess timeliness of SNP activities.
• Report audit results and identify opportunities for process improvements.
• Effectively communicate and keep the Care Management leadership team informed of all departmental operations, activities, data, program performance, issues or any other pertinent information that would impact the overall program compliance or achievement of internal goals.
• Review reporting to assign tasks to Care Coordinators for completion of time-sensitive items.
• Mentor, train, audit, coach, and manage a team of non-clinical Care Coordinator staff to ensure compliance with Alignment policies and procedure and all regulatory requirements.
• Direct administrative work as needed, including but not limited to maintaining and updating member’s records, mailing, or faxing correspondence to PCP’s/Specialists, opening cases and tasks in the Care Management platform to meet specific deadlines.
• Assist with Case Management team coverage plans as needed.
• Maintain confidentiality of information between and among health care professionals.
• Other duties as assigned by CM Supervisor, Manager, or Director.

Qualifications

• 3+ years Care Coordination experience; or any combination of education and experience, which would provide an equivalent background.
• 1+ years supervisory/lead experience in a health care setting or any combination of education and experience, which would provide an equivalent background.
• High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience.
• No licensure required.

Requirements

• Ability to analyze data for trends.
• Knowledge of Managed Care Plans and medical terminology.
• Computer Skills, 25 WPM (Microsoft Outlook, Excel, Word).
• Good oral, written, and telephone skills.
• Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Ability to deal with problems involving a few concrete variables in standardized situations.
• Good organizational skills.
• Ability to reason and carry out instructions.
• Good interpersonal skills.
• Read, write, and speak English fluently.
• File systematically.

Benefits

• Pay Range: $58,531.00 - $87,797.00.
• Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Company Description

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact [email protected].

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information.