BH Care Manager Team Lead
Company: MetroPlusHealth
Location: New York
Posted on: May 4, 2024
Job Description:
Empower. Unite. Care.MetroPlusHealth is committed to empowering
New Yorkers by uniting communities through care. We believe that
Health care is a right, not a privilege. If you have compassion and
a collaborative spirit, work with us. You can come to work being
proud of what you do every day.About NYC Health +
HospitalsMetroPlusHealth provides the highest quality healthcare
services to residents of Bronx, Brooklyn, Manhattan, Queens and
Staten Island through a comprehensive list of products, including,
but not limited to, New York State Medicaid Managed Care, Medicare,
Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold,
Essential Plan, etc. As a wholly owned subsidiary of NYC Health +
Hospitals, the largest public health system in the United States,
MetroPlusHealth network includes over 27,000 primary care
providers, specialists and participating clinics. For more than 30
years, MetroPlusHealth has been committed to building strong
relationships with its members and providers to enable New Yorkers
to live their healthiest life.Position OverviewUnder the
supervision of the Director of Clinical Case Management in the
Behavioral Health HARP department, the Behavioral Health (BH) Care
Manager Team Lead is responsible for the supervision of Care
Managers (CM) within the BH Mainstream CORE Unit including
coordinating daily operations and overseeing case management. The
BH CM Team Lead monitors the CM departmental ACD phone queue to
ensure quality of calls between the Care Manager, members, and
providers. The BH CM Team Lead conducts new hire training and
continued training for all clinical staff. The BH CM Team Lead
enhances communication and processes within the clinical and
non-clinical areas within Behavioral Health and with other internal
departments to ensure that all member and employee needs are
met.Job Description
- Provides guidance to the CM s within the Behavioral Health
Mainstream Core Unit, particularly as it pertains to new processes
and workflows which support program operations
- Promotes and facilitates a multidisciplinary approach,
supporting HARP coordinated care operations amongst disciplines.
Collaborating as necessary with both the CORE & HARP Utilization
Management Team, and MetroPlusHealth Housing, Partnership In Care,
and Integrated Case Management programs as necessary
- Oversees clinical program training/retraining, creation, and
updating of departmental training tools/workflows and
resources
- Supports training for Clinical Care Management processes and
protocols in MetroPlusHealth systems and all other programs which
support overall CORE BH operations.
- Oversees and monitors Care Manager ACD line activity and
reporting, supervising Crisis Calls and escalating when necessary
to Director of Clinical Case Management
- Maintains a tracking tool which logs unacceptable
inconsistencies and errors observed during quality reviews of
recorded calls via the queue and care management documentation,
care planning, follow-up, and interventions
- Performs quarterly audits of staff chart documentation
- Works collaboratively with HARP management team to ensure
program goals, projects and initiatives are implemented and meet BH
departmental workflows and policy standards
- Supports Care Management staff as needed when management is in
meetings and/or working on other program initiatives
- Performs all other duties or actions as required under the
direction of the Director of Clinical Case ManagementMinimum
Qualifications
- Master s Degree required
- Post graduate clinical experience 6-8 years including at least
3 years of managed care experience in medical management or case
management. 2 years of experience specific to Behavioral Health
preferred
- 2-4 years of supervisory experience and/or training within a
management role preferred
- Superior technical computer skills (Microsoft Office, DCMS,
Care Connect, Teams Video Application)
- Microsoft Excel skills with the ability to edit, search,
sort/filter, format/use styles, create tables, calculate data using
functions and formulas, and create/use PivotTables for analyzing
data.
- Knowledge of the Collaborative Care Model
- Experience with chronic condition management, particularly
Diabetes, HIV, and Heart Disease
- Previous experience pertaining to Health Home Plans of
Care
- Experience as user/reviewer of the HCS/MAPP systems for Health
Home member statusLicensure and/or Certification Required:
- LCSW, LMSW, or LMHC unrestricted New York State
LicenseProfessional Competencies:
- Integrity and Trust
- Teamwork and Problem-Solving Attitude
- Customer Focus
- Functional/Technical Skills
- Ability to work in a fast-paced environment
- High degree of diplomacy and tact
- Excellent written and oral communication skills required.
- Ability to multi-task well while maintaining a positive can do
attitude
- Demonstrated ability to manage large caseloads in a fast-paced
environment while building and enhancing team productivity
- Demonstrated professionalism and leadership skills along with
the ability to develop, direct and support staff Associated topics:
assistant general manager, assistant gm, editor in chief, fire
marshal, lieutenant, manager in training, petty officer, police
commander, senior manager, supervisor
Keywords: MetroPlusHealth, Bayonne , BH Care Manager Team Lead, Executive , New York, New Jersey
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