Manager-Child and Adult Welfare Care Management (Primarily Remote, North Carolina Based)

The Manager of Child and Adult Welfare Care Management provides support, supervision, and development of Care Manager Supervisors within the Care Management Department at all Alliance locations. The Manager will also assist in building and overseeing an efficient care management system to support at risk youth in various programs, with a focus on those in DSS custody, members receiving adoption assistance, and former foster youth. Strong verbal and written communication skills to interact with members, families and healthcare community. Coordinating different teams to foster an exchange of ideas and promote team collaboration and learning opportunities. The selected candidate is required to reside in North Carolina within 40 miles of one of the counties within the Alliance catchment areas (Mecklenburg, Wake, Durham, Orange, Johnston, Harnett, or Cumberland). This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed or for travel within the Alliance catchment area.

Staff Management and Development: Work with Human Resources and Director of Child and Adult Welfare to maintain and retain a highly qualified and well-trained workforce Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes Organize workflows and ensure staff understand their roles and responsibilities Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements 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 Collaborate with External, and Internal Stakeholders: Develop strong working relationships with providers and external stakeholders by scheduling ongoing opportunities to share feedback and collaborate, specifically with the Department of Social Services and Juvenile Justice in all Alliance counties Participate in local, regional, and state meetings as required Exercise conflict resolution skills to appropriately resolve issues with providers and external stakeholders Develop strong working relationships within Provider Networks Provider Network Evaluation, as well as the Medical Team by scheduling ongoing opportunities to share feedback, collaborate, and identify shared responsibilities for achieving program and organizational deliverables Implement Recommendations for Continuous Quality Improvement: Review, validate and interpret risk stratification data and population health groups and recommend changes or adjustments to care management approach as needed Utilize data systems to monitor process improvement and resource utilization Knowledgeable of HEDIS measurements and population health within a complete care model Utilize evidence-based practice to ensure quality outcomes for members Implement recommendations to improve department procedures and increase operational efficiency Monitor trends and identify opportunities for enhancements in service utilization and implementation throughout Alliance Oversee Program Operations and Development: Develop and support program operations in new Alliance regions, while adhering to Tailored Plan standards Participate in the initiation, development, and maintenance of clinical protocols and other population-based programs, facilitating collaboration and consensus of multidisciplinary teams as complete care is developed Oversee the development of department specific goals and objectives ensuring alignment with system strategy, vision, mission, and values Formulate, implement, and evaluate strategies for specialized staff education as it relates to member care, case management and plans of care Monitor and ensure compliance with Key Performance Indicators (KPI’s) Manage the team and stakeholders serving youth who are in need of placement/residential intervention to include to reduce the length of stay in inappropriate and crisis placements. Facilitate meetings with stakeholders serving/supporting this population. Manage data related to youth in need of placement. Work with Provider Network and other departments as appropriate to address gaps and barriers in the network Oversee Documentation Maintenance and Reporting: Maintain medical record compliance/quality Ensure timely documentation of Care Management activities as required by department policy and procedures Monitor completion of documentation in all systems to ensure data is entered timely and accurately Oversee the collection and delivery of data requests impacting program operations Comply with Policies, Procedure, Processes, and Workflows: Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures