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About the Role

The Supervisor, Integrated Care Management provides clinical and operational oversight to a multidisciplinary care team, ensuring seamless transitions between care levels for members. This role supports the development of a high-performing unit and is accountable for meeting productivity and quality standards to achieve departmental performance metrics.

Responsibilities

• Develop, manage, and lead a team of self-accountable professionals by modeling real, personal accountability and instilling a culture of psychological safety and accountability.
• Support direct reports in holding themselves accountable to high performance standards and professional conduct.
• Conduct one-on-one conversations with direct report(s), focused on performance, development, and career growth.
• Ensure compliance with labor laws/regulations, support the implementation of organizational policies and procedures, and foster a positive and inclusive culture.
• Support the development, implementation, and monitoring of the department budget.
• Supervise and coordinate care management services; establish efficient workflows and address barriers to implementation.
• Create and revise workflows, job aids, and training materials to support staff and operations.
• Ensure staff consistently meet operational, clinical, and compliance standards.
• Maintain and provide backup coverage to ensure achievement of all internal and external needs, including creating, delegating, and managing special projects, audits, and reports.
• Provide caseload coverage as necessary in the absence of clinical and non-clinical staff.
• Drive team goals focused on health outcomes and high-quality member experience.
• Support Manager in developing and operating quality assurance programs for clinical and non-clinical staff.
• Lead hiring, onboarding, training, and evaluation of new staff.
• Partner with Manager to identify training needs and develop educational programs, training materials, competency tools, and orientation checklists.
• Collaborate with Manager to ensure continuous quality improvement and monitor compliance with DHCS, CMS, NCQA and other governing organizations.
• Facilitate interdisciplinary team meetings (IDTs), case conferences, and team huddles.
• Maintain a valid CA Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW).
• Promote culture of holistic member centric care with a focus on physical, behavioral health and social determinants of health.
• Adhere to work performance norms and attendance expectations.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in nursing, psychology, or social work (master’s preferred).
• Three (3) years of care management experience.
• At least one (1) year of supervisory experience in a health care or managed care setting preferred.
• Extensive knowledge of health care and/or community case management models.
• Working knowledge of Medicare and Medi-Cal regulations and requirements related to care coordination, case management, transitions of care, and documentation standards.
• Working knowledge of compliance standards in CMS, NCQA, DHCS, CalAIM, HIPAA and organizational care management.
• Demonstrated ability to lead and collaborate effectively with diverse teams and partners to achieve outcomes.
• Demonstrated ability to interpret clinical information and support staff in applying evidence-based care management approaches.
• Ability to use care management platforms and electronic documentation systems to guide staff and monitor performance.
• Demonstrated ability to support change management and operational implementation of new programs, policies, or regulatory requirements.

Skills

• Advanced organizational and time-management skills.
• Ability to provide supervision, guidance, and support to a multidisciplinary team.
• Intermediate Microsoft Office Suite application skills (Outlook, Word, Excel, Teams, Visio, and PowerPoint).
• Intermediate skills in developing and maintaining effective interpersonal relationships with providers, members, community partners, public agencies, and government programs.

Experience Level

• Three (3) years of care management experience
• At least one (1) year of supervisory experience

Education Level

• Bachelor’s degree in nursing, psychology, or social work
• Master’s degree preferred

About the Company

• The Health Plan of San Mateo (HPSM) is an equal opportunity employer and is committed to providing equal employment opportunities to all applicants and employees without regard to race, color, religion, creed, political affiliation, sex, gender, gender identity or expression, pregnancy, childbirth and related medical conditions, marital status, registered domestic partner status, sexual orientation, age, ancestry, national origin, citizenship status, veteran or military status, disability, medical condition, genetic information, or any other characteristic protected by applicable federal, state, or local law.
• HPSM is committed to providing reasonable accommodations to qualified individuals with disabilities and to applicants and employees with sincerely held religious beliefs or practices, in accordance with applicable law.

Equal Opportunity

• This policy applies to all aspects of employment, including recruitment, hiring, selection, placement, promotion, transfer, demotion, compensation, benefits, training, discipline, and termination.
• If you require an accommodation during the application or interview process, or in order to perform the essential functions of a position, please contact the HPSM recruiter to request assistance.