Supervisor, Social and Community Service

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee, coordinate, and facilitate the execution of Social and Community Services Programs.

• Build and lead a high-performing team.

• Plan, assign, schedule, and assess team tasks while ensuring adherence to quality standards.

• Recruit, train, develop, conduct performance evaluations, and implement corrective actions when necessary.

• Establish professional objectives and address barriers to members’ care.

• Create processes and workflows that enhance the experiences of both members and team members.

• Ensure seamless transitions of care and promote member wellbeing.

• Educate, guide, and support the SCS team in collaboration with hospitals and providers.

• Discuss intricate cases, assist with escalated member needs, and suggest further actions.

• Develop meeting agendas and lead monthly team gatherings.

• Monitor strategic goals, outcomes, KPI data, productivity, and contributions to HEDIS compliance.

• Relay field intelligence to the SCS Manager.

• Address service concerns and represent Community Health and IEHP leadership.

• Collaborate with SCS teams, provider offices, and community organizations.

• Cultivate relationships with healthcare providers, community organizations, and stakeholder partners.

• Collaborate with providers, community organizations, and leaders to enhance quality metrics and achieve PHM Bold Goals 50x2025.

• Attend and represent the SCS department at IEHP meetings and external events.

• Coordinate special projects alongside the SCS Manager and community partners.

• Share best practices, enhance education and outreach, and promote care connections and disease prevention.

• Conduct chart audits, quality assurance checks, coaching, clinical support, and shadowing activities.

• Assist with the resolution of complex and escalated member cases.

• Facilitate regular case conferences.

• Identify performance challenges, care gaps, and opportunities for operational efficiency.

• Train team members on IEHP policies, regulations, procedures, workflows, and electronic medical management systems like MedHok.

• Monitor continuous quality improvement related to healthcare access, primary care, prevention, social determinants of health, and HEDIS gaps.

• Implement the LEAN model for program standards, processes, and training.

• Act on behalf of the Manager when required.

• Participate in meetings, provide training, and perform advanced representation as needed.

⛳️ Requirements

• Minimum of three (3) years of experience in supervision/management, managed care/IPA/clinic settings, or delivering presentations/trainings to diverse audiences.

• Experience with State Health Programs (Medi-Cal/Medicare), case coordination, community health work/Promotora programs, community outreach, behavioral health/substance use disorder programs, case management, or acute care.

• Proven track record in leading a team and managing operations with accountability for outcomes.

• A Master’s degree in Social Work from an accredited institution is required.

• An active, unrestricted, and unencumbered LCSW license issued by the California Board of Behavioral Sciences is mandatory.

• Familiarity with Medicare, Medi-Cal, HEDIS, MCAS, DHCS, and NCQA is required.

• Understanding of social determinants of health, community resources in San Bernardino/Riverside counties, healthcare services, CHW roles, and multicultural communities.

• Bilingual proficiency in one of IEHP's threshold languages is highly desirable: English, Spanish, Chinese, or Vietnamese.

• Exceptional verbal, communication, and interpersonal skills.

• Skills in motivational interviewing or similar empathy-based communication techniques.

• Proficient computer skills including typing, data entry, email, Word, Excel, Outlook, and PowerPoint.

• Strong planning, organization, time management, critical thinking, analytical, problem-solving, and collaboration skills.

• Ability to organize and prioritize workload, work under pressure, work independently, and maintain attention to detail.

• Capability to engage team members via phone, in members’ homes, in the community, and other environments.

• Ability to foster relationships with community-based organizations and leaders.

• Must be able to lift 25 lbs.

• 75% driving travel is required in assigned Riverside and San Bernardino County territories.

• Must be willing and able to travel to members’ homes.

• Willingness to work flexible schedules, including evenings and weekends when necessary.

🏝️ Benefits

• Competitive salary.

• State-of-the-art fitness center on-site.

• Medical Insurance that includes Dental and Vision coverage.

• Options for life, short-term, and long-term disability insurance.

• Opportunities for career advancement and professional development.

• Wellness programs that support a healthy work-life balance.

• Flexible Spending Account for Health Care and Childcare expenses.

• CalPERS retirement plan.

• 457(b) option with a contribution match.

• Paid life insurance for employees.

• Pet care insurance.

• Telecommuting/remote work opportunities available upon completion of necessary steps and HR approval.