Universal American

Clinical Supervisor - Licensed Clinical Social Worker LCSW or LMFT

Job Title: Clinical Supervisor - Licensed Clinical Social Worker LCSW or LMFT

Job ID: 908595

Begin Date: 3/3/15

Duration

Location: Glendale, CA

Other Location

Description: APS Healthcare a subsidiary of Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those we serve and reduce healthcare costs.

Well-capitalized and highly entrepreneurial, Universal American has been on the cutting edge of healthcare for more than 21 years. We offer Medicare Advantage plans to people with Medicare. We partner with providers in Accountable Care Organizations that serve people with Original Medicare. And we provide array of healthcare services to states, municipalities, health plans and other entities in the world of Medicaid. In everything we do, we focus on improving the coordination of healthcare through collaboration between payers, providers and patients to achieve the best health outcomes possible.

For more information on Universal American, please visit our website at www.UniversalAmerican.com.

Summary of Qualifications:
The Clinical Supervisor, HRA is responsible for coordinating, monitoring, evaluating and facilitating high-quality, cost-effective Health Plan Health Risk Assessment completion. Assists in the development, organization, direction and maintenance of HRA functions for the department. The supervisor provides oversight in the day-to-day HRA activities and works independently with little supervision.

Responsibilities:
•Coordinates Health Risk Assessment services for members as prescribed by the Health Plan’s policy, CMS/State guidelines, and
member’s eligibility.
•Monitors staff productivity and implements the performance management process, as appropriate.
•Monitors timely HRA completion activities by reviewing daily and weekly staff productivity reports/dashboards, adjusting staffing
and work assignments as needed to maintain productivity standards.
- Conducts telephonic and face to face assessments as requested.
•Assists in implementation of operational changes in order to improve efficiency of processes and meet the Health Plan’s strategic
goals.
•Serves as a clinical resource to the HRA Assessors.
•Resolve complaints in a positive manner with tact and diplomacy within established time frames.
•Continuously monitors contract compliance of Health Risk Assessment services and adjusts work plan, if needed.
•Maintains awareness of state and federal legislation effecting HRA services.
•Ensures HRA staff complies with Health Plan, State, and CMS policies and procedures.
•Assists with orientation and training of new HRA Assessors.
•Counsels HRA Assessor staff, when needed.
•Functions as a facilitator with regard to workplace departmental issues.
•Promotes Health Plan’s overall organizational and financial goals as well as improvement in overall quality of the member’s health
care as the primary goal of any initiative.
•Responsible for the daily management of appointed staff and work in collaboration with other departments to achieve contractual
outcome goals.
•Participate in regular team meetings for communication and feedback, staff training and development, sharing of program
results, and collaborative problem solving.
•Complies with all guidelines established by the Health Plan, the State, the Centers for Medicare and Medicaid (CMS) and guidelines
set forth by other regulatory agencies, where applicable, and defined in the Universal American Corporate and department
policies.
•And all other duties assigned by the manager and/or supervisor.

Required Skills
•Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas
•Organizational skills with the ability to handle multiple tasks and/or projects at one time
•Customer service skills with the ability to interact professionally and effectively with members, HRA assessors, and staff from all
departments within and outside the Company
•Analytical and interpretation skills including departmental and operations data
•Decision-making skills with the ability to investigate and weigh alternatives and select the course of action that provides the
greatest benefit to the organization
•Creative thinking skills with the ability to ask the needed bigger-picture questions that lead to process and team improvements
•Time management skills with the ability to prioritize and schedule daily activities for the most efficient use of time
•Problem solving skills with the ability to look for root causes and implementable, workable solutions
•Interpersonal skills with the ability to work in a fast-paced environment and participate as an independent contributor with little
supervision or as an active team member depending on the situation and needs
•Leadership skills with the ability to empower, engage, motivate, evaluate and manage team members individually and as a group
•Must have a track record of producing work that is highly accurate, demonstrates attention to detail, and reflects well on the
organization

Required Experience
•Social Work or Nursing licensure required
•Bachelor’s degree in nursing, social work, health and gerontology or a related field required
•Minimum of one year relevant supervisory experience in a hospital, health care or human services setting
•Experience in conducting social and health assessments is preferred
•Personal computer experience should include working with Microsoft Word, Excel, PowerPoint and Outlook at the intermediate

level at a minimum
•Experience identifying and working with various community resources and services

Universal American Corp. is an Equal Opportunity / Affirmative Action Employer and does not discriminate because of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, military veteran status, or any other characteristic protected by law. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.

Required Skills: time management, professional verbal and written communicator, experience with community resources and services

Openings: 1

Clinical Supervisor - Licensed Clinical Social Worker LCSW or LMFT

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