CASE MANAGEMENT SUPERVISOR

Reports to Vice President of Home and Community Based Services

Hybrid: May work from home, but must live within commuting distance of and willing to travel as needed to following areas: Tulsa, Okmulgee, Shawnee, Poteau, Antlers.

MINIMUM QUALIFICATIONS

1. Must meet the requirements of the Advantage Case Manager which include:
   1. RN with one year paid professional experience; or
   2. LPN with one year paid professional experience; or
   3. Baccalaureate degree and one year *paid professional experience with the aging or disabled population obtained before or after receipt of degree.
   4. *Paid professional experience may include, but not limited to CNA, CMA, CHHA, and PCA experience: and
2. Be an experienced manager of people with a minimum of one (1) year of personnel management. Which may include direct involvement with hiring, training, assignment of work, evaluation of work performance, commendation and disciplinary action and termination of personnel.
3. Have direct case management experience with home-based health care or case management services for in home long-term care populations.
4. Complies with accepted professional standards and principles.
5. Possesses and maintains good physical stamina and mental health.
6. Is a licensed driver with an automobile in good working order and has insurance in accordance with state and/or Agency requirements.
7. Is flexible and cooperative in fulfilling role obligation.
8. Has excellent observation, good clinical judgment, and good oral and written communi­cation skills.
9. Is self-directed with the ability to work with little supervision; has good organizational skills; and is able to work cooperatively with others.

SUMMARY OF JOB RESPONSIBILITIES

The Case Management Supervisor is responsible for the supervision and completion of all 5-day follow ups, monthly monitors, scheduling and Plan supervision, correction and completion to the State of Oklahoma. The Case Management Supervisor MAY be assigned 2-5 members. The Case Management Supervisor will monitor Admits, Recerts, and Supervisory visits and assure compliance with the Case Management Standards. The Case Management Supervisor establishes, implements, and evaluates goals and objectives for home care services, which meet and promote the standards of quality and contribute to the continuous quality improvement of the agency and will monitor that each Case Manager in the agency is compliant.

Responsibilities and Duties

1. Coordinates and oversees all direct and indirect Consumer Services provided by Clinical and Case Management staff.
2. Provides guidance and counseling to CM’s to assist them in continually improving all aspects of Home Care Services.
3. Will personally maintain a minimum of 5 CM cases.
4. Assists RN/CM’s in managing clinical and Case Management services and planning.
5. Assists the Clinical Administrator in the administration of the agency’s annual budget.
6. Provides help in assessment, planning, implementation and evaluation of Members and Family/Caregiver care to clinical personnel as indicated.
7. Assists Clinical Administrator/Director of Clinical Services in interpreting operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues, or expenses.
8. Performance appraisal of direct subordinates is completed according to the agency policies and procedure, assisting subordinates with professional growth and development and will review production of all offices in the agency daily.
9. Ensures the orientation and on-going education of direct subordinates is adequate to appropriately carry out their assigned job responsibilities.
10. Coordinates with the Clinical Administrator/Director of Clinical Services in hiring, evaluating, and terminating agency personnel.
11. Assists CM’s to develop skills and techniques in their performance.
12. Oversees the maintenance of member clinical records, statistics, reports, and records for proposes of evaluation and reporting of agency activities.
13. Ensures proper maintenance of clinical records according to agency policies and procedures and in compliance with local and federal laws.
14. Recommends to the Director of Clinical Services, in-services and continuing education and training needs of agency personnel.
15. Presents appropriate data for submission to AAU for personnel to attend CM orientation to Director of Clinical Services and oversees arrangements for personnel attendance to orientation.
16. Assists with the evaluation of Agency performance via performance improvement program, productivity, quarterly and annual reviews. Ensures the quality and safe delivery of home health services provided through the agency.
17. Responsible for direct oversight for all reports required by the AAU for the agency
18. Assists in the development of Agency goals. Recommend, develops, and implements Agency policy and procedures.
19. Ensures compliance of the agency with all local, state, and federal laws regarding licensure and certification of agency and clinical personnel and notifies appropriate Medicaid/ADvantage waiver division of any status change in personnel.
20. Demonstrates understanding of the Agency’s mission, vision, philosophy, and standards of care, through behavior, which supports this.
21. Stays informed about changes in the field of Medicaid/ADvantage Home Health and shares information with appropriate agency personnel.
22. Promotes home health referrals in the health care community.
23. Is available for emergencies involving health care staff members and will be required to assume CM cases as needed.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

WORKING CONDITIONS

1. General office
2. Community home environment
3. Exposure to infectious diseases
4. In and out of automobile
5. This position has been designated Class I (see policy 9-1). Employees performing Class I duties may be involved in potential exposure to blood borne pathogens. All Class I employees are offered Hepatitis B vaccination at no expense to the employee.

PHYSICAL REQUIREMENTS

1. Visual/hearing ability sufficient to comprehend written/verbal communication.
2. Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing.
3. Ability to deal effectively with stress.

CONTINUING EDUCATION REQUIREMENTS

Agency personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, agency personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All agency personnel must attend mandatory educational programs.

Benefits:

• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location:

• Hybrid: May work from home, but must live within commuting distance of and willing to travel as needed to following areas: Tulsa, Okmulgee, Shawnee, Poteau, Antlers.

Experience:

• Oklahoma ADvantage Waiver program: 1 year (Required)
• Experience with Harmony and AuthentiCare programs