Supervisor, Managed Long Term Services and Supports (Clinical)

Job Summary

The Supervisor, Managed Long Term Services and Supports (MLTSS) supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. This position provides a high-performing, collaborative work environment aligned with departmental goals.

The Clinical Supervisor assists in triaging and resolving operational issues within the scope of work and escalates matters to the senior management when appropriate.

The Supervisor supports to the department’s program development and continuous process improvement efforts, participates in cross-functional workgroups and committees, and contributes to the creation and maintenance of policies, procedures, job aids, and training materials to support staff education and competency

This position is also responsible for ensuring all functions are operating in accordance with the organization's mission, values and strategic goals, which are focused on continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership.

Duties

Directly responsible for the development, organization, direction and oversight of assigned clinical staff. Supervision of staff includes, but not limited to monitoring of day-to-day activities of staff, creates schedules, manages PTO requests, provides guidance and feedback to staff on performance, mentoring, training, and cross-training of staff, addressing questions or issues raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others.

Responsible for the daily workflow and supervising the work of assigned staff, the overall efficiency and productivity of assigned team.  This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.

Monitors staff performance including but not limited to productivity, quality and compliance with regulatory and organizational requirements. 

Serves as the primary resource for internal stakeholders regarding program-related inquiries and technical issues; escalates to MLTSS Clinical Management when necessary. Acts as a consultant to other business units and organizations as needed.

Evaluates operations and recommends process improvements to streamline workflows, enhance efficiency and productivity to achieve departmental goals and performance metrics.

Duties Continued

Demonstrates subject matter expertise in MLTSS program requirements and maintains working knowledge of federal and state regulations, including but not limited to Department of Health Care Services (DHCS) All Plan Letters (APL), Title 22, CalAIM, and provider contractual obligations.  Educates and provides resources for management team on key initiatives to facilitate communication between key internal and external stakeholders.

Leads collaboration with Medical Directors, social workers, and interdisciplinary care team (ICT); actively participates in ICT meetings and provides recommendations related to MLTSS administered programs.

Serves as a lead liaison for MLTSS, developing and maintaining positive working relationships with internal and external stakeholders to support optimal member care and provider satisfaction.

Oversees and monitors provider performance to ensure adherence with regulatory standards and contractual agreements. Participates in provider audits and quality improvement initiatives.

Collaborates with Provider Network Management (PNM) and participates in Joint Operations Meetings (JOM). 

Performs other CM and UM functions as assigned and as needed /required by L.A. Care, to maintain regulatory requirements and company objective