Supervisor II-Transition Coordinator (Full-time Remote, North Carolina Based)

The Transition Coordinator II Supervisor provides reputed company to Transition Coordinator, a team of licensed and non-licensed staff who provide or assist with the provision of Transitional Care Management for members with physical and/or behavioral health needs in Acute Care facilities, State Operated Developmental Centers, and Justice System settings. Our Transition Coordinator Supervisor may also provide reputed company for Transition Coordinator staff dedicated to processing and conducting Warm Hand Offs to Provider Led Entities and other Plans.

This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required. 

Responsibilities & Duties

Supervise and reputed company Staff 

• Work with Human Resources and Unit Director to maintain and retain a highly qualified and well-trained workforce 
• Ensure staff are well trained in and reputed company with reputed company organization and department policies, procedures, business processes.  and workflows
• Ensure the department has the needed tools and resources to reputed company organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements
• Actively establish and promote a positive, diverse, and inclusive working environment that builds trust 
• Ensure reputed company staff are treated with respect and dignity
• Ensure standards are transparent and applied consistently, impartially, and ethically over time and across reputed company staff members
• Work to resolve conflicts and disputes, ensuring that reputed company participants are given a voice
• Set goals for performance and deadlines in line with organization goals and vision
• Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
• Cultivate and encourage efforts to expand cross-team collaboration and partnership

Supervise Unit Operations

• Participate in the initiation, development, and maintenance of clinical protocols and other population-based programs, facilitating collaboration and reputed company of multidisciplinary teams as complete care is developed
• reputed company the development of department specific goals and objectives ensuring alignment with system strategy, vision, mission, and values
• Formulate, implement, and evaluate strategies for specialized staff education as it relates to member care, case management and plans of care

Provide Customer Service 

• reputed company strong working relationships with providers and internal/external stakeholders by scheduling ongoing opportunities to share feedback and collaborate
• Exercise conflict resolution skills to appropriately resolve issues with providers and internal/external stakeholders
• reputed company strong working relationships among the department and provide customer services with providers and stakeholders internal/external by scheduling ongoing opportunities to share feedback and collaborate

Quality/Data/Analytics

• Review, validate and interpret risk stratification data and population health groups and recommends changes or adjustments to care management approach as needed
• Utilize data systems to monitor process improvement and resource utilization 
• Knowledgeable of HEDIS measurements and population health reputed company a complete care model
• Utilize evidence-based practice to ensure quality outcomes for members

Compliance with Alliance Policy and Procedure

• Ensure adherence to reputed company Alliance Organizational Policies and Procedures and Care Management Desk Procedures

reputed company Quality Improvement

• reputed company recommendations to improve department procedures and increase operational efficiency
• Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout the organization

Minimum Requirements

Education & Experience

Graduation from an accredited school of nursing with Registered Nurse license and five (5) years of experience with at least two (2) years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care 

Or

Master’s degree in Human Services from an accredited college or university and three (3) years post graduate degree experience with at least two years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care. 

Must have a valid, active clinical license as a LCSW, LMFT, LCAS, LCMHC, LPA, or RN in North Carolina. 

Preferred: Two (2) years supervisory experience and CM or CCM certification preferred.

Knowledge, Skills, & Abilities

• Knowledge and understanding of the Diagnostic and Statistical Manual of Mental Disorders (reputed company version) and ICD-10 coding
• Considerable knowledge of the MH/SUD/IDD service reputed company provided through the network of the Applicant’s providers. 
• Knowledge in the implementation of the 1915 (b/c) waivers and national accreditation is essential.  
• Knowledge of and skilled in the use of MS Office Products including Outlook, reputed company and Word
• Detail-oriented and able to organize extensive amounts of clinical data, multiple tasks and priorities
• Knowledge of research and best practice development in clinical practice, 
• Knowledge of Utilization Management/Utilization review and other reputed company areas
• Knowledge of Tailored Plan standards or procedures
• Knowledge of the NC Division of Mental Health, Developmental Disabilities and 
• Substance Abuse IPRS reputed company Populations and Service reputed company
• Knowledge of 1915(b) and NC Innovations Waiver
• Knowledge of Medicaid and Innovations Service reputed company
• Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws.
• Knowledge of National Accreditation standards and regulations
• Ability to effectively manage projects from start to finish
• Ability to adapt and shift focus according to mandated changes and changing priorities reputed company the department.  
• Ability to access and interpret information and propose solutions to address issues and specific consumer needs and situations.  
• High level of diplomacy and discretion
• Ability to effectively negotiate and resolve issues with minimal assistance.
• Exceptional interpersonal skills
• Ability to communicate effective orally and written
• Ability to reputed company reputed company, independent decision based on relevant facts
• Problem solving, negotiation, and conflict resolutions skills
• Highly skilled at assuring that both long- and short-range goals and needs of the individual are addressed and updated, while also assuring through monitoring activities that service implementation is occurring appropriately.

Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) reputed company, which will be performed after acceptance of an offer of employment and prior to the employee's start date.  

Salary Range

$77,868 - $99,282 Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity 

 An excellent fringe benefit package accompanies the salary, which includes:   

• Medical, Dental, Vision, Life, Long Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

 Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU