MSHO/MSC+ Supervisor – HealthPartners – Bloomington, MN

HealthPartners is currently hiring for Supervisor, Disease and Case Management. We are a nonprofit integrated care delivery and financing system based in Bloomington, MN. At HealthPartners, you’ll find a culture where we live our values of excellence, compassion, integrity, and partnership. By working together, we will improve health and well-being, create exceptional experiences for those we serve and make care and coverage more affordable. We seek colleagues who wish to help advance diversity, equity and inclusion and foster an environment where everyone feels welcome, included, and valued.

ACCOUNTABILITIES: (Key roles, responsibilities & functions for this position)
(For supervisory position – indicate positions/departments supervised)

Leadership:

• Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.
• Build effective relationships throughout the department and with other partners in care, and inspire staff to achieve excellence in the daily operations of Case Management.
• Embrace change. Create an environment that encourages creativity, independence, and willingness to change in Case Management team members.
• Consistently apply HealthPartners organizational and department values (missions / vision / initiatives) and continuous quality improvement principles in relationships, daily work, and program supervision.

Member Focus:

• Ensure all staff, processes and programs are member-focused, resulting in high levels of member/patient/family, colleague and team member satisfaction.
• Thorough knowledge of how to access and understand member benefits / coverage / payor information.

Relationship and Team Building:

• Establish and maintain good working relationships within Case Management Department, with other HealthPartners departments, to facilitate excellence in Case Management processes and outcomes.
• Create and maintain a cohesive Case Management team by facilitating a collaborative, respectful, diverse environment.

Program Supervision and Evaluation:

• Become an expert on all program workflows and regulatory elements, seeking additional education as needed.
• Evaluate current processes to identify needs and opportunities to improve the Case Management program.
• Work with Program Manager, Case Management, to ensure implementation of new department programs and initiatives in a timely and effective manner.
• Work with Program Manager to ensure compliance with Medicare / Medicaid contract requirements and regulations.
• Monitor for education/training needs. Once identified, facilitate implementation of training for appropriate staff.
• Review and consult on complex cases as identified by program criteria.

Staff Selection and Development:

• Provide supervision, guidance, coaching, and development of staff.
• Provide ongoing performance feedback to staff members, and complete annual reviews on a timely basis.
• Complete one on one meeting and site visits with staff to evaluate performance to ensure compliance with Case Management policies and procedures promoting consistency with care coordination activities.
• Recruit and select new staff in coordination with Program Manager, Case Management.
• Orient new staff with ongoing evaluation of orientation process.
• Monitor staffing and recommend adjustments to Program Manager as needed.
• Promote staff development in assignment of special projects, ongoing independent study, education-related professional activities, and professional affiliations to maintain and increase knowledge in the areas of Case Management.
• Review feedback from Patient Satisfaction Surveys and Service Recovery logs and share this with staff including coaching as appropriate.

Communication:

• Communicate with members, families, physicians and staff to facilitate successful daily operations of the Case Management Program.
• Maintain confidentiality of information in accordance with department and corporate policies.
• Collaborate with internal departments, according to co-management principles for patient-centered care.

Technology:

• Maintain knowledge of and effectively use automated applications and systems.
• Understand the data and reports available to maximize their use and value.
• Implement strategies to ensure efficiency and productivity through proficient use of automated systems by Case Management staff.

Personal Development:

• Participate in ongoing independent study, education-related professional activities, and professional affiliations to maintain and increase knowledge in the areas of Case Management.

Other Duties:

• Participate in various committees, task forces, projects, and quality improvement teams, as needed and assigned.
• Perform other duties as assigned.

CURRENT DIMENSTION: (may change over time)

• Reports to Program Manager, Case Management.
• Directly supervises Case Management team consisting of professional case managers.
• Interacts with medical, administrative, and front line staff within the organization.
• Supervises daily operations of program serving HealthPartners members.

REQUIRED QUALIFICATIONS: (Minimum qualifications needed for this position)

• Registered Nurse with current license in the State of Minnesota (BSN preferred) OR LSW Social Worker for MSHO or MSC+ (LISW preferred).
• Certification as a CCM, CMC or equivalent certification, with achievement of certification within 18 months of employment.
• Minimum of 3 years clinical practice experience.
• Minimum of 3 years experience in case management.
• Demonstrated effective leadership and supervisory skills.
• High level of expertise in written, oral, and interpersonal communication.
• Demonstrated skill in effective use and management of automated medical management systems.
• Demonstrated ability to function independently and cooperatively.
• Understanding of healthcare and/or HMO industry.
• Demonstrated experience in hiring, orientation, coaching, and team building of professional staff.
• Demonstrated flexibility and organization.
• Demonstrated appropriate decision making under challenging situations.

CHALLENGES:

• Maintaining focus on the desired mission and vision while effectively responding to a rapidly evolving environment.
• Influencing team members and colleagues to work collaboratively in achieving the goals and objectives of the Case Management program.
• Facilitation and implementation of interdependent, cross-divisional processes and strategies for successful change, with compliance to regulatory, accreditation, and customer requirements.
• Supervising staff during significant change and rapid implementation.

DECISION-MAKING: (What rules or precedents limit the activities and authority of this position? What types of problems or decisions are referred to the supervisor?)

• Make independent decisions within the scope of this position’s accountabilities and determine the need for and the timing of consultation with leadership and/or Medical Director.
• Use professional clinical judgement, organizational knowledge, industry knowledge, and common sense in determining appropriate alternatives for members/patients/families, consulting with senior leadership and/or Medical Director, when indicated.
• Assist with the development and implementation of the Case Management/MSHO/MSC+ programs. Make recommendations to leadership regarding policy development and/or changes.
• Identify and communicate variances from customer, regulatory, and accreditation requirements, and ensures action is expediently taken to achieve necessary level of organizational competence.

HealthPartners is recognized nationally for providing outstanding care and experience for patients and members. We offer an excellent salary and benefits package. For more information and to apply go to www.healthpartners.com/careers and search for Job ID #66195.