Care Management Supervisor

Job Description

Title: Care Management Supervisor
Department: Care Management
Classification: Exempt
Reports To: Director of Nursing
Direct Reports: RN Care Managers, Clinical Care Coordinator, Behavioral Health Clinical Care Coordinator, Referral Coordinator

• Patient Centered Customer Service – Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization.
• Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
• Respectful Communication – We communicate openly, honestly and without judgment while honoring each individual’s uniqueness and assuming the best of those with whom we interact.
• Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
• Accountability – We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions.
• Customer Safety – We recognize and correct potential hazards to protect our customers and ourselves.

Oversees daily operations of the care management team to ensure high-quality, patient-centered care. This position provides leadership, mentorship, and clinical or operational support to their team, ensuring adherence to organizational policies, regulatory requirements, and evidence-based care management practices. The Care Management Supervisor oversees caseloads, assesses program performance, and works closely with interdisciplinary partners to improve outcomes, address barriers to care, and improve patient experience.

• Ensures patients receive appropriate mental health and specialty healthcare services by overseeing the coordination of referrals, assessments, and follow-ups.
• Oversees/Monitors the billing and coding requirements for Care Management and Care Coordination services with PHPs, to ensure appropriate reimbursement.
• Plans, organizes, directs, and leads the development of chronic disease program protocols and standards of care.
• Establishes objectives and evaluative or operational criteria for units managed.
• Directs or conducts recruitment, hiring, and training of personnel.
• Ensures the delivery of high-risk care management, chronic care management, Medicare Care Management, and Medicaid care management.
• Oversees patient compliance, including developing education, training for optimizing call outcomes and driving Physician ordered Care Plan.
• Consults with medical, business, and community groups to respond to community needs, enhance public relations, coordinate activities and plans, and promote health programs.

• Registered Nurse (RN) in the state of North Carolina.
• Minimum 3-5 years of experience in care/case management, care coordination, or related field.
• At least 2 years of supervisory or managerial experience in a healthcare setting are strongly preferred.
• Other coursework in Social Work, Psychology, Public Health, or a related field is desirable.

• Strong leadership and management skills.
• Knowledge of primary care nursing and care management, mental health disorders and treatments, and care coordination models.
• Excellent communication and interpersonal skills to engage with patients, families, and healthcare professionals.
• Familiarity with electronic health records (EHR) and case management software.
• Ability to manage multiple priorities in a fast-paced environment.
• Understanding of HIPAA regulations and patient confidentiality laws.
• Must be knowledgeable of the concept of Integrated Health Services with a strong focus on primary care.
• Proficient with Microsoft Suite (Word, Excel, PowerPoint, etc.).

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. All duties and responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.

The physical demands associated with this position include but are not limited to: frequent lifting, bending,…