Operations Supervisor

Description:

Under the direction of the PneumaCare Associate Director, the County Operations Supervisor provides general supervision over the California Advancing & Innovating Medi-Cal (CalAIM) Enhanced Care Management (ECM) and Community Supports(CS) programs, including supervision of front-line staff, case management oversight, outreach planning, maintaining case management services associated with ECM and CS, and working closely with the MACC Benevolence programs team to coordinate services among mutual clients. This role participates in quality improvement and quality management activities and participates in various collaborative meetings with Program and Operation Managers and other partners.

The Operations Supervisor will be responsible for coordinating and implementing Enhanced Care Management (ECM) and Community Supports Management for a limited caseload; overseeing and implementing provisions of the Enhanced Care Management and CS services; and identification and achievement of Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs.

The Operations Supervisor is responsible for supervising case management systems in their county, while also collaborating with other referral agencies, managed care plans, public agencies and medical specialties as needed.

Requirements:

Responsibilities for Operations Supervisor

• Supervises CalAIM at the county level, including front-line PneumaCare staff.
• Engages eligible members, offers services where the member lives, seeks care, or finds most easily accessible and within health plan guidelines.
• In accordance with HR policies and procedures, assists in the hiring and onboarding of new staff to their team, oversight of employee relations, performance reviews and disciplinary actions.
• Manages office operations within county, and ensures each office has proper level of supplies and equipment needed to render services.
• Ensures compliance with Health Plan requirements through monitoring staff actions and regular auditing of case files.
• Serves as program lead and point of contact for CalAIM within their County and collaborates with the Program and Operations Managers to ensure compliance.
• Facilitates meetings with their local CalAIM teams to ensure updates are communicated and ensures the teams use strategies for program quality assurance and management.
• Enforces program-specific policies and procedures in collaboration with the Program and Operation Managers; seeks advice on how to implement procedures as required by management.
• Networks with local partners and is current on issues that concern impoverished communities in their area.
• Responsible for direct report performance evaluations, merit increase recommendations, and timecard approval processes.
• Conducts regular staff meetings, including communication and training of program policies and procedures, outcomes and evaluations, and compliance matters.
• Models continuous performance and quality improvement philosophies to best deliver program goals and objectives.

Qualifications:
EDUCATION & EXPERIENCE REQUIREMENTS:

These requirements may be met in three different ways:

1. 4-year degree in social work, sociology, human services or related fields preferred and 1-2
   years of experience supervising clinical or social services team members, including experience
   with care coordination and/or social services to low-income populations with complex chronic
   conditions.
   OR

• 2-year degree in social work, sociology, ministry, human services or related fields preferred and 3-5 years of experience supervising clinical or social services team members, including experience with care coordination and/or social services to low-income populations with complex chronic conditions.

OR
Any combination of the education and/or experience requirements above that meets the required qualifications of a healthcare professional that can demonstrate an ability to supervise clinical or social services team members, including experience with care coordination and/or social services to low-income populations with complex chronic conditions.