Hiring Now: Program Supervisor, Network Services Team
Last Updated May 24, 2022
Division: Network Services
Title: Supervisor – Network
Qualifications
Education: Preferred Masters’ degree in social work, psychology, public health, counseling, rehabilitation, gerontology, or sociology.
Experience: Preferred experience in healthcare, hospital and/or community-based adult focused social work; experience developing program procedures and databases; two years of supervisory experience required.
Knowledge of community-based programs and resources.
Ability to work with multidisciplinary teams as well as clients and their families in a variety of settings.
Knowledge of aging and programs for seniors a plus.
Responsibilities
Managing and supervising staff from multiple programs that provide services for multiple health plans and organizations
Ensuring that program policies and timelines are followed in accordance with contracts and state regulations.
Understanding all nuances of multiple programs and the different contracts within each program in order to guarantee that all procedures for different programs are within regulation.
Quickly prioritizing tasks that are required by multiple programs and managing the completion of all tasks as needed.
Anticipating and troubleshooting difficulties and problems in a timely and appropriate manner:
Quickly ascertain the severity of a situation, determine when it needs to be escalated, and use the appropriate channels to rectify the situation (i.e. internal processes as well as Health Plans’ chain of escalations, Adult Protective Services, Ombudsman Services etc.).
Follow-up as necessary to ensure that problematic situations were indeed reconciled.
Developing procedures for implementing new programs or updating current programs.
Using requirements outlined in contracts, create workflows and scopes of work in an effort to execute new programs.
Continue to assess and reassess program procedures to ensure that programs are both following contracts and are running efficiently. Adjust procedures as needed.
Write and update, as needed, program manuals for each individual program.
Keep program staff updated on any program changes and ensure that all policies and procedures are being followed.
Track requirements of staff members such as licensing and insurance.
Developing and maintaining training protocols for each individual program:
Training for Partners in Care general Policies and Procedures.
Program and position specific training.
Designing/developing program databases and software in a variety of platforms.
Act as the liaison between programs and software company/programmers to ensure that development of new software effectively and efficiently reflects the need of the program.
Using requirements outlined in contracts, workflow and procedures, ensuring that databases and software captures all of the necessary data to facilitate the productivity of the program as well as providing all of the information necessary for required reporting to the contracting agency, government agencies and for internal QA reporting.
Timely recruitment for open staff positions:
Understanding the different needs of the different Health Services programs in order to recruit staff appropriately.
Interviewing potential staff for all programs, using knowledge of the programs and interviewing skills to best match interviewees with positions.
Coordinate the hiring processes between the Department and Human Resources.
Ensuring that appropriate quality assurance procedures for reviewing evaluations and assessments are provided in accordance with contracts and state regulations.
Conduct regular ride alongs for supervision of in person visits and call reviews for telephonic interventions.
Assisting in reconciling and providing quality assurance for billing reports for all programs/contracts: Reconciling and tracking timesheets and mileage reimbursements:
Understanding the status of different staff members and their compensation agreements—depending on their program and hiring contract.
Using tracking logs and databases to ensure that time and mileage claimed by staff is accounted for and to track amount of hours and miles being billed to each program or contract.
Processing timesheet hours and mileage of contract employees and submitting their timesheets/invoices to appropriate entity (i.e. finance department, staffing agency, etc.).
Assisting reconciling and tracking invoices for their program
Compiling and managing detailed weekly, monthly, and quarterly program reports for multiple health plans and organizations:
Run and analyze internal weekly program reports to ensure that members/patients are progressing through the various programs in compliance with contractual obligations.
Run and distribute to Health Plans/collaborators weekly, monthly, and quarterly reports detailing the progress and compliance of the program.
Preparing reports and forms for quarterly auditing purposes:
Compiling all of the required information and data to submit to the Health Plans on quarterly bases.
Respond to Health Plan’s Corrective Action Plan Review in a timely fashion in order to quickly address and correct any concerns that arose out of the audit.
Develop, recommend, and manage on-going training opportunities for staff from multiple programs.
Ensure that all staff is appropriately trained in mandatory areas such as program specific policies and procedures, HIPAA-HITECH, Cultural Sensitivity, Mandated Reporting, etc.
Develop or arrange with outside sources and agencies in-service training that will assist the staff with professional development.
Cross training with other departments—in services between departments to facilitate collaborations.
Maintain tracking log of which staff members have conducted what trainings.
Develop training opportunities for and with outside agencies.
Develop and provide in-services for outside collaborators to train our partners in our procedures and services in order to fully utilize our partnerships.
Collaborate with our partners to receive the necessary training we need from them to be able to fully integrate our programs into their processes.
Provide additional support for Programs
Developing and implementing departmental and program procedures for ensuring appropriate use, storage, and handling of Protected Health information in order to ensure compliance with company policies as well as HIPAA-HITECH regulations.
Continue to assess and reassess program procedures to ensure that staff members and programs are in compliance with policies and regulations.
Write and update, as needed, PHI policies into program manuals.
Keep program staff updated on any program changes and ensure that all policies and procedures are being followed.
Maintaining and documenting communications between Partners staff and health plans or other organizations.
Implementing interventions and services utilizing community resources in a timely fashion in accordance with departmental policy.
Observe and oversee legal, departmental, health plan and/or hospital regulations.
Identify needs and support systems for the health plan members and coordinate getting those needs addressed.
Assist in development of a community-based referral network. Organize, coordinate, and conduct reviews of community resources and social service agencies and other psychosocial referral sources for clients.
Maintain excellent working relationships with our collaborators such as health plans, medical groups, as well as other departments within the company.
Maintain community relations develop and maintain positive community interactions; build referral relationships in the community and seek new resources.
If you are interested in this position, please submit your resume to jobs@picf.org.
Partners in Care Foundation is an equal opportunity employer. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws. All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
