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Become A Case Management Supervisor

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Working As A Case Management Supervisor

  • Getting Information
  • Documenting/Recording Information
  • Organizing, Planning, and Prioritizing Work
  • Communicating with Supervisors, Peers, or Subordinates
  • Performing for or Working Directly with the Public
  • Deal with People

  • Unpleasant/Angry People

  • Stressful

  • $44,741

    Average Salary

What Does A Case Management Supervisor Do At Cigna

* Recruits, selects and hires qualified Case Management staff (may include referral analysts, case managers, benefit specialists, benefit analysts, and health service specialists)
* Maintains quality improvement and ongoing personal development of all staff.
* Supervises, monitors, and reviews performance of a Case Management team to assure that case management services are delivered promptly, cost effectively, courteously and according to Policy and Procedure, Case Management Standards, and Quality Assurance standards.
* Manages annual and semi-annual performance evaluation process, individual discussion and feedback, and compensation for all team members.
* Collaborates with Quality team for quality improvement opportunities and appropriate actions.
* Partners with matrix members for the development of appropriate work plans and takes corrective action when necessary to ensure that objectives, standards, policies and procedures are met
* Manages appropriate level of follow-up for all work plan and individual performances.
* Acts as liaison and problem-solver between Case Managers and matrix partners.
* Evaluates ongoing and future staff requirements/needs to meet customer, site, and corporate objectives.
* Works with Manager to establish and ensure achievement of unit’s customer service, utilization patterns, productivity, quality, and financial goals.
* Supports all corporate and/or national quality/certification initiatives (i.e. URAC)
* Communicates and manages staff to QA and/or productivity standards, as applicable.
* Supports Manager, Corporate, and Sales/Client Services in evaluating customer's service, utilization patterns, quality and financial results to assure that service delivery is within parameters defined by product and underwriting model.
* Acts in account management and performs active customer service function for account(s); provides day-to-day contact with customer to resolve service delivery problems/issues; responds to customer requests; communicates any special customer instructions or procedures that must be followed by Case Management team.
* May need to support the Case Manager to gain approval from customer(s) for case management service (as required), for extra contractual service requests, recommended care plan, or other needs
* Supports needs for current and prospective customer visits, presentations and/or audits.
* Maintains clinical knowledge and provides coaching to staff, based on area of medical expertise, when requested
* Demonstrates evidence of continuing education in clinical and/or business management areas.
* Advises all staff of any pertinent changes in customer, service delivery, or business functions.
* Demonstrates leadership in sensitivity to culturally diverse situations with staff, matrix partners, clients and customers.
* Ensures that all key metrics and financial targets are achieved.
* Other duties as required and related to this role

What Does A Case Management Supervisor Do At Partnership Healthplan of California

* Provides daily leadership, direction, resources, training, evaluation and support to department staff in coordinating care and resource utilization.
* Serves as a role model and clinical resource to colleagues, staff, members and others.
* Assists department leadership in identifying, monitoring, and evaluating department operations to ensure optimal efficiency and effectiveness.
* Makes recommendations for process improvements when necessary.
* Performs Human Resource functions such as time card management, directing work activities, implementing workplace changes, conducting annual reviews, and conducting staff trainings.
* Collaborates and works with Team Manager(s) to keep apprised of operational issues, staff and service levels, resources, program and/or department needs.
* Ensures consistent application and implementation of departmental, organizational, and state/federal policies and procedures.
* Conducts on-going review and audits of team work to ensure program goals, quality standards, and department metrics are being met.
* Establishes and maintains professional working relationships with PHC partners and providers via open and timely communication.
* Participates in committees, task forces, work groups and/or multidisciplinary teams.
* Other duties as assigned.
* MINIMUM HIRING CRITERIA Education and Experience Bachelor's Degree in Nursing or clinically related field preferred; 3
* years' experience to include staff supervision, one (1) year managed care or case management experience; or equivalent combination of education and experience Special Skills, Licenses and Certifications Strong knowledge of nursing standards in both inpatient and outpatient settings.
* Demonstrated leadership skills/experience.
* Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines.
* Strong organizational skills required.
* Computer literacy and proficiency.
* Familiarity with managed care and/or utilization management preferred.
* Current California Registered Nurse License.
* Valid California Driver's License and proof of current automobile insurance compliant with PHC's policies are required to operate a vehicle and travel for company business.
* Certifications in chosen field such as advance practice nursing or case management, or within 2 years of hire, required.
* Performance Based Competencies Excellent written and verbal communication skills in English.
* Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals.
* Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload.
* Work Environment And Physical Demands Daily use of multi-line telephone and computer for most of the day.
* Cubicle work station.
* Ability to use a computer keyboard.
* Must be able to lift, move, or carry objects of varying size, weighing up to 10lbs.
* All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.
* IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.
* The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
* Company Description Partnership HealthPlan of California (PHC) is a non-profit community based health care organization that contracts with the State to administer Medi
* Cal benefits through local care providers to ensure Medi
* Cal recipients have access to high-quality comprehensive cost-effective health care.
* PHC provides quality health care to over 560,000 lives.
* Beginning in Solano County in 1994, PHC now provides services to 14 Northern California counties
* Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Shasta, Siskiyou, Solano, Sonoma, Trinity and

What Does A Case Management Supervisor Do At Highmark Health

* Manage and coordinate all department activities; staff education, policy and procedure development and revision, individual staff audits, oversees overall operations to ensure compliance to standards.
* Ensure appropriate distribution of workload; monitors/tracks staff completion of assigned work.
* Develop and implement modifications needed, to workload plan, to ensure completion and appropriately coach/counsel staff.
* Act as a role model to staff and be able to assist in the day to day activities as needed.
* Provide service support, training and performance metrics/statistics, to the team, in addition to initiating and implementing process improvements.
* Recruit, select, orient, evaluate, counsel, and develop performance improvement plans; promote and terminate per corporate policy; and encourage career development and support of staff.
* Identify and escalate issues appropriately.
* Apply clinical knowledge to work with facilities and providers for care-coordination.
* Plan for and conduct staff meetings that assure corporate and operational communication supported by meeting minutes; and provide an open forum for issues and problem solving.
* Suggest new approaches to complex problems.
* Appropriate targets, measure outcomes and establish plan to negate variances in quality, staff retention, finance and customer satisfaction.
* Provide direct reports with guidance and educational tools in order to ensure compliance with NCQA, URAC, DOH, DOL and CMS.
* Review and provide input into the oversight of policies and procedures to support regulatory requirements related to Case Management.
* Develop and implement appropriate audit requirements in order to ensure compliance with all staff activity related to Case Management.
* Ensure that all staff achieves the minimal qualification of their position through ongoing staff development, counsel and motivate employees, evaluate employees, investigate complaints or performance concerns; implement disciplinary action as needed and in consultation with appropriate authority and Employee Relations.
* Display effective communication skills.
* Maintain consistent and open lines of communication with internal and external customers.
* Communicate changes in processes and programs in order to enhance a share vision and mission.
* Effectively communicate outcomes, data analysis, complex processes and action plans to division/unit staff, corporate partners, and external customers.
* Facilitate and lead informational and educational meetings for internal and external customers.
* Accountable for special projects and enhanced activities within the department.
* Participate in the development and implementation of department/division projects.
* Implement integration processes and planning activities.
* Other duties as assigned or requested

What Does A Case Management Supervisor Do At The Mentor Network

* Directsand supervises assigned staff including performance evaluations, scheduling,orientation, and training.
* Makes recommendationon decisions for employee hires, transfers, promotions, salary changes,discipline, terminations, and similar actions.
* Resolves employee problemswithin position

What Does A Case Management Supervisor Do At The Mentor Network

* Directs andsupervises assigned staff including performance evaluations, scheduling,orientation, and training.
* Makesrecommendation on decisions for employee hires, transfers, promotions, salarychanges, discipline, terminations, and similar actions.
* Resolves employeeproblems within position responsibilities.
* If you have leadership experience and a passion forthose we serve… we want to hear from you!_

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How To Become A Case Management Supervisor

Requirements for social and human service assistants vary, although they typically have at least a high school diploma and must complete a brief period of on-the-job training. Some employers prefer to hire workers who have additional education or experience.

Education

Although a high school diploma is typically required, some employers prefer to hire workers who have relevant work experience or education beyond high school. A certificate or an associate’s degree in a subject such as human services, gerontology (working with older adults), or social or behavioral science is common for workers entering this occupation.

Human service degree programs train students to observe and interview patients, carry out treatment plans, and handle people who are undergoing a crisis. Many programs include fieldwork to give students hands-on experience.

The level of education that social and human service assistants have completed often determines the responsibilities they are given. Those with a high school diploma are likely to do lower level work, such as helping clients fill out paperwork. Assistants with some college education may coordinate program activities or manage a group home.

Although postsecondary education is important, some employers may prefer or allow for applicants who have related work experience. In some cases, candidates may substitute such experience in place of postsecondary education. 

Training

Many social and human service assistants, particularly those without any postsecondary education, undergo a period of on-the-job training. Because such workers often are dealing with multiple clients from a wide variety of backgrounds, on-the-job training in case management helps prepare them to respond appropriately to the different needs and situations of their clients.

Advancement

For social and human service assistants, additional education is almost always necessary for advancement. In general, advancement to case management or social work jobs requires a bachelor’s or master’s degree in human services, counseling, rehabilitation, social work, or a related field.

Important Qualities

Communication skills. Social and human service assistants talk with clients about the challenges in their lives and assist them in getting help. These workers must be able to listen to their clients and to communicate the clients’ needs to organizations that can help them.

Compassion. Social and human service assistants often work with people who are in stressful and difficult situations. To develop strong relationships, they must have compassion and empathy for their clients.

Interpersonal skills. Social and human service assistants must make their clients feel comfortable discussing sensitive issues. Assistants also need to build relationships with other service providers to become familiar with all of the resources that are available in their communities.

Organizational skills. Social and human service assistants often must complete lots of paperwork and work with many different clients. They must be organized in order to ensure that the paperwork is filed properly and that clients are getting the help they need.

Problem-solving skills. Social and human service assistants help clients find solutions to their problems. They must be able to listen carefully to their clients’ needs and offer practical solutions.

Time-management skills. Social and human service assistants often work with many clients. They must manage their time effectively to ensure that their clients are getting the attention they need.

Some employers require a criminal background check. In some settings, workers need a valid driver’s license.

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Case Management Supervisor jobs

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Case Management Supervisor Demographics

Gender

  • Female

    77.3%
  • Male

    21.2%
  • Unknown

    1.5%

Ethnicity

  • White

    82.1%
  • Hispanic or Latino

    9.1%
  • Asian

    6.7%
  • Unknown

    1.3%
  • Black or African American

    0.8%
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Languages Spoken

  • Spanish

    64.3%
  • French

    10.7%
  • German

    7.1%
  • Portuguese

    3.6%
  • Braille

    3.6%
  • Dutch

    3.6%
  • Russian

    3.6%
  • Arabic

    3.6%
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Case Management Supervisor

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Case Management Supervisor Education

Case Management Supervisor

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Top Skills for A Case Management Supervisor

ProceduresManagementSupervisorMentalHealthServicesPolicyManagementServicesCrisisInterventionManagementStaffOversightCommunityResourcesChildTreatmentPlansManagementProgramDirectSupervisionChartAuditsMedicalRecordsPerformanceEvaluationsServicePlansOutreachSafetyStaffMeetings

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Top Case Management Supervisor Skills

  1. Procedures
  2. Management Supervisor
  3. Mental Health Services
You can check out examples of real life uses of top skills on resumes here:
  • Resolved problems and conflicts associated with the consumers and/or programs and made decisions in compliance with program policies and procedures.
  • Case management supervisor is responsible for supervising case management of multiple group homes, including direct supervision of assigned case manager.
  • Maintained and monitored a system for adequately screening referrals for mental health services.
  • Helped develop and clarify unit policy and procedures and assisted staff in meeting service productivity standards.
  • Provided case management services to a case load of 20 - 30 adolescent males in a group home facility.

Top Case Management Supervisor Employers

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Case Management Supervisor Videos

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