Quality Management Supervisor

Company: Community Behavioral Health.
Location: Philadelphia
Posted on: February 1, 2025

Job Description:

CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. As part of our growth, we are seeking a detail-oriented Quality Management Supervisor to join our team.CBH offers a robust compensation and benefits package, including:

• Family Planning, Fertility, Adoption Benefits
• 403B Retirement Plan
• PTO Days/Sick Days
• Wellness Program
• Employee Assistance Program
• Health, Dental, Vision Insurance
• Medical, Prescription Drug Insurance
• Tuition Reimbursement
• Commuter Benefits
• Flexible SpendingThe Quality Management Supervisor is responsible for the daily supervision and oversight of quality management team members, as well as leading all aspects of provider monitoring.Core Expectations:Community Behavioral Health (CBH) will hold each employee accountable for the following expectations which align with our mission, vision, and corporate code of conduct.
  • Perform key responsibilities as detailed in this job description in a dependable, responsible, and positive manner, consistent with all state and federal guidelines.
  • Serve as a role model by exemplifying professional behavior, language, skills, and attire in order to promptly and accurately serve the needs of stakeholders, members and their families.
  • Assure adherence to CBH policies and procedures so that all work is of the highest quality and delivered in the most culturally competent and cost effective manner.
  • Promote and manage diversity and acceptance within CBH and with all members and stakeholders by honoring and respecting their individuality, dignity and rights.
  • Offer suggestions and develop solutions to help promote effective and efficient work processes and innovative programs.
  • Actively participate in required meetings and complete all mandatory trainings.
  • Maintain high levels of advocacy and member confidentiality to ensure the success of CBH and our mission.
  • Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste or abuse. Essential Functions:
    • Build and maintain a strong functional clinical team through effective recruiting, training, performance management, coaching, team building and succession planning.
    • Provide daily technical and clinical oversight in "screen seven", validity of system entries, severity rating, category assignments, investigation and level of response.
    • Ensure Quality Management Polices and Protocols are being adhered to by the respective team members.
    • Collaborate with other CBH departments during provider meetings and site visits.
    • Conduct root cause analysis in variance patterns and trends with incidents, serious complaints and other quality measures.Position Requirements:
      • Education: Master's degree in behavioral health or a related field
      • License/Certification: N/A
      • Relevant Work Experience: Minimum of 5 years of experience in mental health and drug and alcohol services Skills:
        • Ability to positively lead a team
        • Strong communication skills
        • Strong organizational skills
        • Ability to multi-task in fast-paced environment
        • Proficient in MS Office and able to type at least 20 words per minute
        • Compliant with HIPAA regulationsWork Conditions:
          • Requires ability to work shift schedule including days, nights and overnights; schedule may vary.
          • Requires ability work off-site as needed.
          • Requires ability to travel, including out-of-state and overnight travel, as needed.
          • Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
          • Ability to utilize computers and office equipment to complete daily work responsibilities.
          • Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
          • Must be able to adapt to continuous changes/demands of the job.Core Competencies:
            • Teamwork and Collaboration: Build and sustain relationships with co-workers and stakeholders and support efforts and deliverables. Encourage unity and help remove barriers to productivity and success.
            • Respect: Treat each other and our members and stakeholders with respect and sensitivity, recognizing the importance of diversity.
            • Member Centric: Focus on the needs of our members by providing value-added services, promoting strong relationships and going beyond basic expectations to achieve the best possible outcomes.
            • Honesty and Integrity: Be open and honest in all we do. Maintain the highest level of integrity at all times.
            • Commitment to Service Excellence: Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction, first-in-class service and high quality, innovative programs.
            • Compassion and Empathy: Demonstrate a deep appreciation for another's situation and point of view. Pay attention to emotional cues, listen effectively and show an exceptional level of caring about each person's perspectives and circumstances.
            • Problem Solving: Build and implement logical solutions to resolving challenges/issues by using individual knowledge and experience while taking resources, constraints and CBH values into consideration.
            • Initiative and Self-Directed: Proactively manage time and resources in a way that ensures that all work is done in the most efficient manner while identifying and implementing initiatives without interventions from co-workers, supervisors or stakeholders.
            • Flexibility and Adaptability: Adjust approaches and behaviors in order to meet the constantly changing environment head-on and accomplish CBH and individual goals. Strive to adapt to, accept and embrace change within areas of responsibility.
            • Communication: Effectively and appropriately share thoughts, ideas and information - both written and oral. Respectfully listen to co-workers and stakeholders to gain a full understanding of issues/situations. Leadership Competencies:
              • Strategic Thinking: Understand and integrate the long-term vision of CBH and focus current activities on what is critical to achieve future success including formulating objectives/priorities and developing and implementing breakthrough ideas.
              • Leadership: Effectively manage and guide efforts to address challenges and drive continuous improvement for CBH's programs, services and processes. Develop and implement effective strategies and appropriate interpersonal styles to influence and guide others.
              • Employee Development: Recognize and promote the necessity to hire, assess, develop and retain high quality talent. Acknowledge strengths and weaknesses in team members through an ongoing performance management process that provides timely feedback in order to help them develop and enhance performance. Philadelphia Residency Requirement:
                • The successful candidate must be a current Philadelphia resident or become a resident within six months of hire. U.S. Authorization Requirement:
                  • CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.Equal Employment Opportunity:
                    • We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.Requesting An Accommodation:
                      • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
                      • If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov
                        
                        
                        Compensation details: 70000-80000 Yearly Salary
                        
                        
                        
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Keywords: Community Behavioral Health., East Orange , Quality Management Supervisor, Executive , Philadelphia, New Jersey