Supervisor, Transitional Care Services

Supervisor, Transitional Care Services

Job Category: Clinical

Department: Health Education

Location: Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 11705

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

The Supervisor of Transitional Care Services (TCS) is responsible for supervising the TCS clinical and non-clinical staff’s daily work and activities. The Supervisor ensures adequate staffing and coverage adherence to Department of Health Care Services (DHCS) TCS program and documentation requirements, and that eligible members receive timely and quality services.

This position is responsible for promoting the optimal clinical outcomes and improving quality of care through clinical priorities for members. This position utilizes independent clinical judgment to promote quality of care through collaboration with cross-functional teams at L.A. Care (LAC). The position assists in identifying and triaging member and operational issues/problems, and forming resolutions within the scope of work.

This position provides ongoing program support through active communication, education, and consultation of interdisciplinary staff. The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.

This position is responsible for ensuring all functions are operating in accordance with the organization's mission, values, and strategic goals.

Duties

1. Supervise staff, including monitoring day-to-day activities, performance, mentoring, training, and handling staff inquiries.
2. Consult with management and Human Resources Business Partner (HRBP) to review performance improvement plans.
3. Assist in developing written policies and procedures pertinent to transitional care and regulatory program requirements.
4. Plan and direct TCS activities to provide timely, quality care and services to members experiencing a care transition.
5. Recommend process improvement measures to achieve program performance outcomes and goals.
6. Conduct and coordinate analysis of data to track and trend for improving programmatic performance.
7. Conduct monthly audit activity via program performance reporting standards to maintain quality care of members.
8. Provide clinical leadership for Transitional Care and related program goals.
9. Ensure program compliance with HIPAA regulations.
10. Maintain knowledge of current trends and practices in Transitional Care, nursing, and health care.

Perform other duties as assigned.

Education Required

1. Associate's Degree in Nursing or Related Field
2. Master's Degree in Social Work or Related Field

Education Preferred

Bachelor's Degree in Nursing

Experience

Required:

1. Minimum of 5 years of recent care management, care coordination, and/or transition of care experience.
2. At least 2 years of leading a process, program or staff, or supervisory/management experience.

Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.

Skills

Required:

1. Knowledge of state, federal and regulatory requirements in care/disease management.
2. Excellent interpersonal communication, problem solving, and conflict resolution skills.
3. Knowledge of complex health care systems and proficiency in performing medical record reviews.
4. Computer literacy with proficiency in Microsoft Word, Excel, and core program systems.
5. Excellent organizational and time management skills.
6. Ability to solve complex issues and implement creative solutions.

Preferred:

Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable.

Licenses/Certifications Required

1. Registered Nurse (RN) - Active, current and unrestricted California License
2. Licensed Clinical Social Worker (LCSW) - Active, current and unrestricted California License

Additional Information

Able to work flexible job hours.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including:

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program