Alliance Health
Supv-TCL ACH Transition (Full-Time Hybrid, North Carolina Based)
Alliance Health, Morrisville, North Carolina, United States, 27560
The TCL ACH Transition Supervisor provides oversight to a team of Transition Coordinators who assist high risk and often acute members transitioning from institutional settings and ensures compliance with all DHHS required transition functions as listed in the In Reach/Transition/Diversion Manual. This position is also responsible for staff development and training, monitoring productivity, and ensuring clinically responsible community transitions based on best practices and integrated case planning.
This is a Full-time Hybrid position. The employee is required to come into the office closest to their location one time a week and be willing to travel within the communities Alliance serves as needed. The selected candidate must reside in North Carolina.
Responsibilities & Duties
Supervise TCL Transition Team and Guide Clinical/Community Transitions
Complete case reviews of high risk/acuity cases in routine supervision meetings including interdepartmental problem solving, as well as organizational subject‑matter experts (SME) where member specific requests for service authorization or case escalation reviews are anticipated
Provide oversight of ACH Transition Coordinators in their role supporting members in transitioning from Adult Care Homes into community living with full wraparound and integrated services and supports
Address local barriers to successfully and safely transition members
Provide supervision to staff by observation and monitoring of documentation and work activities; Conducting documentation reviews including monitoring member episode and program reports in JIVA (Electronic Health Record)
Problem solving with Provider Network Department as well as organization subject‑matter experts (SME) where member specific requests for service authorization or case escalation reviews are active or anticipated
Monitor timely completion and accuracy of required documentation and data entry in internal and state required platforms
Work with Human Resources, TCL and CHWB leadership to maintain and retain a highly qualified and well‑trained workforce
Ensure staff are well trained in and comply with all organization and Dept of Justice Settlement Agreement requirements and department policies, procedures, business processes and workflows. Make recommendations of any process and quality improvements
Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
Ensure all staff are treated with respect and dignity
Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
Work to resolve conflicts and disputes, ensuring that all participants are given a voice
Set goals for performance and deadlines in line with organization goals and vision
Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
Cultivate and encourage efforts to expand cross‑team collaboration and partnership
Provide Exceptional Customer Service
Develop strong working relationships with providers and internal/external stakeholders by scheduling ongoing opportunities to share feedback and collaborate
Exercise conflict resolution skills to appropriately resolve issues with providers and internal/external stakeholders
Develop strong working relationships among the department and provide customer services with providers and stakeholders internal/external by scheduling ongoing opportunities to share feedback and collaborate
Quality/Data/Analytics
Utilize data systems to monitor process improvement and resource utilization. Formulate, implement, and evaluate strategies for specialized staff education as it relates to member care, transition management and plans of care
Ensure accuracy and timeliness of all state required data measures related to TCL and specifically the functions of transition coordinators
Knowledgeable of HEDIS measurements and population health within a complete care model. Utilize evidence‑based practice to ensure quality outcomes for members
Minimum Requirements
Education & Experience
Required:
Bachelor’s degree from an accredited college or university in a Human Services field and five (5) years of post‑degree experience with the population served.
Or
Master’s degree from an accredited college or university and three (3) years of post‑degree experience with the population served.
Preferred:
Supervisory experience preferred.
Knowledge, Skills, & Abilities-
Knowledge and understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version)
Considerable knowledge of the MH/SUD/IDD service array provided through the network of the applicant’s providers
Knowledge in the implementation of the 1915 (b/c) waivers and national accreditation
Current knowledge of research and best practice development in clinical practice, UM/UR and other related areas, Tailored Plan standards or procedures, NC Division IPRS Target populations and Service Array, Medicaid and Innovations Service Array, Federal laws, including Substance Abuse and the HIPAA Privacy laws
Computer skills, including Microsoft Office Suite
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
Exceptional interpersonal and communication skills
Problem solving, negotiation, arbitration, and conflict resolution skills are essential to balance the needs of both internal and external customers
Highly skilled at assuring that both long‑ and short‑range goals and needs of the individual are addressed and updated, while also assuring through monitoring activities that service implementation is occurring appropriately
Ability to make prompt independent decisions based upon relevant facts
Ability to organize extensive amounts of clinical data
Ability to quickly shift work activities according to mandated changes and changing priorities within the department
Ability to manage and prioritize multiple tasks and effectively manage projects from start to finish
Ability to exercise initiative in accessing information, sound judgment in the interpretation of the information, as well as demonstrate extensive analytical and evaluative skills to interpret, adapt, apply and propose solutions to address issues and specific consumer needs and situations
Salary Range
$77,868 - $99,282 /Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Education
Bachelors or better in Human Services
Licenses & Certifications
Driver License
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
This is a Full-time Hybrid position. The employee is required to come into the office closest to their location one time a week and be willing to travel within the communities Alliance serves as needed. The selected candidate must reside in North Carolina.
Responsibilities & Duties
Supervise TCL Transition Team and Guide Clinical/Community Transitions
Complete case reviews of high risk/acuity cases in routine supervision meetings including interdepartmental problem solving, as well as organizational subject‑matter experts (SME) where member specific requests for service authorization or case escalation reviews are anticipated
Provide oversight of ACH Transition Coordinators in their role supporting members in transitioning from Adult Care Homes into community living with full wraparound and integrated services and supports
Address local barriers to successfully and safely transition members
Provide supervision to staff by observation and monitoring of documentation and work activities; Conducting documentation reviews including monitoring member episode and program reports in JIVA (Electronic Health Record)
Problem solving with Provider Network Department as well as organization subject‑matter experts (SME) where member specific requests for service authorization or case escalation reviews are active or anticipated
Monitor timely completion and accuracy of required documentation and data entry in internal and state required platforms
Work with Human Resources, TCL and CHWB leadership to maintain and retain a highly qualified and well‑trained workforce
Ensure staff are well trained in and comply with all organization and Dept of Justice Settlement Agreement requirements and department policies, procedures, business processes and workflows. Make recommendations of any process and quality improvements
Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
Ensure all staff are treated with respect and dignity
Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
Work to resolve conflicts and disputes, ensuring that all participants are given a voice
Set goals for performance and deadlines in line with organization goals and vision
Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
Cultivate and encourage efforts to expand cross‑team collaboration and partnership
Provide Exceptional Customer Service
Develop strong working relationships with providers and internal/external stakeholders by scheduling ongoing opportunities to share feedback and collaborate
Exercise conflict resolution skills to appropriately resolve issues with providers and internal/external stakeholders
Develop strong working relationships among the department and provide customer services with providers and stakeholders internal/external by scheduling ongoing opportunities to share feedback and collaborate
Quality/Data/Analytics
Utilize data systems to monitor process improvement and resource utilization. Formulate, implement, and evaluate strategies for specialized staff education as it relates to member care, transition management and plans of care
Ensure accuracy and timeliness of all state required data measures related to TCL and specifically the functions of transition coordinators
Knowledgeable of HEDIS measurements and population health within a complete care model. Utilize evidence‑based practice to ensure quality outcomes for members
Minimum Requirements
Education & Experience
Required:
Bachelor’s degree from an accredited college or university in a Human Services field and five (5) years of post‑degree experience with the population served.
Or
Master’s degree from an accredited college or university and three (3) years of post‑degree experience with the population served.
Preferred:
Supervisory experience preferred.
Knowledge, Skills, & Abilities-
Knowledge and understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version)
Considerable knowledge of the MH/SUD/IDD service array provided through the network of the applicant’s providers
Knowledge in the implementation of the 1915 (b/c) waivers and national accreditation
Current knowledge of research and best practice development in clinical practice, UM/UR and other related areas, Tailored Plan standards or procedures, NC Division IPRS Target populations and Service Array, Medicaid and Innovations Service Array, Federal laws, including Substance Abuse and the HIPAA Privacy laws
Computer skills, including Microsoft Office Suite
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
Exceptional interpersonal and communication skills
Problem solving, negotiation, arbitration, and conflict resolution skills are essential to balance the needs of both internal and external customers
Highly skilled at assuring that both long‑ and short‑range goals and needs of the individual are addressed and updated, while also assuring through monitoring activities that service implementation is occurring appropriately
Ability to make prompt independent decisions based upon relevant facts
Ability to organize extensive amounts of clinical data
Ability to quickly shift work activities according to mandated changes and changing priorities within the department
Ability to manage and prioritize multiple tasks and effectively manage projects from start to finish
Ability to exercise initiative in accessing information, sound judgment in the interpretation of the information, as well as demonstrate extensive analytical and evaluative skills to interpret, adapt, apply and propose solutions to address issues and specific consumer needs and situations
Salary Range
$77,868 - $99,282 /Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Education
Bachelors or better in Human Services
Licenses & Certifications
Driver License
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr