We are seeking a Supervisor, MMA Care Management to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Supervisor, MMA Care Management plays a vital role in supervising a care management team that supports members enrolled in the Managed Medical Assistant (MMA) Program that qualify to receive care management services. The Supervisor, MMA Care Management ensures care management activities are completed timely, efficiently, compassionately, and in compliance with regulatory standards, contractual requirements, and organizational goals. Key responsibilities include monitoring team performance, reviewing and evaluating work quality, conducting quality assurance activities, and taking corrective action as needed to promote enrollee satisfaction and high-quality service delivery. The Supervisor, MMA Care Management provides ongoing coaching, training, and support to staff while fostering a collaborative team environment that encourages accountability, professional growth, and positive member outcomes. By facilitating communication between Care Managers, leadership, providers, and interdisciplinary partners, the Supervisor, MMA Care Management helps enhance care coordination processes and the overall member experience.
Minimum Qualifications:
- State of Florida licensed registered nurse (RN).
- Two (2) years of pediatric experience and at least two (2) years of relevant experience working with NF, PDN, PPEC, or MFC populations and services, or
- State of Florida licensed registered nurse (RN) with a minimum of two (2) years of experience with pregnancy or medically complex populations, or
- Master's degree in social work (MSW) with a minimum of two (2) years of pediatric experience and at least two (2) years of relevant experience working with NF, PDN, PPEC, or MFC populations and services.
- Familiarity with healthcare systems, community resources, and relevant regulatory requirements.
- Proficiency in documentation, reporting, and use of electronic health records or case management software.
- Proficient in Microsoft Office applications.
Preferred Qualifications:
- Certification in Case Management (CCM) or related professional credential.
- At least one year of supervisory or team leadership experience in healthcare or social services setting.
- Experience working with diverse member populations and complex care needs.
- Demonstrated success in quality improvement initiatives or program development.
Responsibilities:
- Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
- Lead and supervise a care management team to ensure high-quality, member-centered service delivery and achievement of departmental goals.
- Monitor care management activities, staff productivity, and caseload performance to ensure timely completion of assessments, care plans, documentation, and follow-up activities.
- Ensure compliance with organizational policies, contractual requirements, and state/federal regulations through routine oversight, audits, and corrective action as needed.
- Provide ongoing coaching, performance feedback, training, and professional development to strengthen staff skills, accountability, and engagement.
- Review dashboards, reports, and operational data to identify trends, address gaps, and implement process improvements that enhance team outcomes.
- Collaborate with providers, families, interdisciplinary teams, and community resources to support individualized, person-centered care plans and resolve complex member issues.
- Promote member satisfaction and continuity of care by ensuring responsive service delivery, effective care transitions, and timely resolution of concerns.
- Perform other duties as assigned.