Supervisor, Coordinate Care

Site: Mass General Brigham Health Plan Holding Company, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

This is a hybrid role that requires an onsite presence to the office as least 1x/quarter and will also require occasional visits to members' homes.

The Supervisor works closely with the Clinical Manager to oversee the daily operations of Care Management (CM), delegates work, monitors productivity and fosters adherence to case and utilization management standards as they apply. The Supervisor works closely with care managers in all areas, including medical, social, and behavioral care managers, as well as other Mass General Brigham Health Plan departments to ensure quality and effective service and support to our membership.

The Supervisor will support the Clinical Manager by overseeing the care management team’s performance, identifying developmental and improvement opportunities, and participating in performance goal planning and evaluation. This position will also assist the Clinical Manager with projects and the implementation and monitoring of new care management initiatives. Participation in and/or oversight of case discussion forums, external provider collaborations, and integration activities with behavioral health and Community Medical Alliance partners are additional priorities. The Supervisor may also carry a limited caseload.

Principal Duties and Responsibilities:
• Responsible for setting clear expectations and providing guidance to the CM staff and coaching for team performance.
• Coordinate care manager assignments.
• Evaluate operational reports on a routine basis, monitoring caseloads and identifying training/coaching opportunities.
• Monitor adherence to operational processes and report problems to the Clinical Manager.
• Assist with the implementation of new care management initiatives.
• Participate in the development of workflow processes.
• Monitor collaborative efforts with internal and external care management partners to ensure workflow processes are effective, and report issues to the Clinical Manager.
• Serve as a contact for external departments.
• Participate in or lead internal and external presentations.
• Participate in new employee orientation.
• Monitor staff attendance, assign coverage for absences.
• Communicate performance issues and behavioral concerns to the Clinical Manager.
• Hold self and others accountable to meet commitments.
• Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
• Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
• Other duties as assigned with or without accommodation.

 

Qualifications

Education

• Bachelor's Degree in Nursing, Healthcare Administration, or Related Field of Study

Licenses and Credentials

• Massachusetts Registered Nurse license required

Experience

• At least 3-5 years of experience in clinical experience in case management or care coordination
• At least 1-2 years of experience in a supervisory role

Skills/Abilities/Competencies:

• Demonstrate Mass General Brigham Health Plan’s core brand principles of always listening, challenging conventions, and providing value.
• Bring fresh ideas forward by listening to and working with employees and the people we serve.
• Strong, demonstrated track record of the ability to execute on time, on budget, and on scope.
• Strong aptitude for technology-based solutions.
• Ability to inject energy, when and where it’s needed.
• Current in healthcare trends.
• Demonstrated forward, visionary thinking; ability to see “what is” and envision “what could be.”
• Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
• Excellent leadership skills and leadership track record.
• Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
• Ability to view the