CAP Clinical Supervisor East Region

RHA Health Services, LLC; Ridgewood (NC); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Payactiv

Employee perks and discount program

Paid Time Off

Health/Insurance

401(k) retirement savings

Wellbeing Programs

CPR training opportunities

Job summary

RHA Health Services, LLC is hiring a CAP Clinical Supervisor East Region to oversee CAP case management for medically fragile children and adults with complex needs. You will support staff, ensure regulatory compliance, and coordinate with state agencies, promoting high-quality, person-centered services.

The role requires leadership, clinical documentation expertise, and the ability to manage audits, trainings, and program reviews to maintain service excellence across the East Region.

Qualifications

• Bachelor’s degree in social work or an equivalent field.
• Minimum of five years of directly related experience, preferably CAP case management.
• Experience with Medicaid, CAP guidelines, and regulatory requirements.

Responsibilities

• Oversee CAP case management delivery and ensure quality and compliance.
• Train and coach staff in clinical documentation and case management practices.
• Review clinical notes for accuracy and provide guidance as needed.

Skills

Team leadership

Mentoring

Communication

Clinical supervision

Education

Social Work degree

Human Services degree

RN degree

Tools

eCAP

NCTracks

Workday

PACEnet

Job description

We are hiring for:CAP Clinical Supervisor East RegionType:RegularIf you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!The CAP Clinical Supervisor plays a critical role in facilitating and overseeing the delivery of case management services for medically fragile children and physically disabled adults with complex care needs who are at risk of institutionalization. These beneficiaries reside in private homes where their health, safety, and well-being can be maintained within budget constraints set by the Division of Medical Assistance.The CAP Clinical Supervisor ensures quality case management by supporting Case Managers, individuals being served, and their families, as well as the broader community. This role requires coordination with staff to maintain compliance with best practices and accepted case management approaches. Additionally, the Clinical Supervisor provides direct case management, consultation, training, and development to staff while serving as a liaison with state agencies to ensure effective service delivery.DUTIES AND RESPONSIBILITIES:Service Delivery and Oversight:Complete initial and annual assessments, ensuring alignment with case management assignments and beneficiary needs.Facilitate and monitor the delivery of CAP case management services, maintaining high standards of quality and compliance.Oversee and ensure services comply with federal and state regulations, as well as Medicaid and CAP program guidelines.Provide Local Approval Reviews (LAR) for all Initials, Clinical Needs Reviews (CNRs), CIS/COS, and POCRs, ensuring all required uploads meet DHB timelines and standards.Conduct audits of case management charts to ensure compliance with federal and state regulations and quality standards.Training and Staff Development:Train new staff, focusing on clinical documentation, direct clinical support, and principal activities of case management (assessment, care planning, referral, linkage, monitoring and follow-up).Assist in developing and coordinating regional and individual training programs to enhance service quality.Provide ongoing coaching and leadership support to staff, emphasizing their value and contributions to the team.Develop and lead training initiatives to improve staff understanding of clinical practices, documentation standards, and compliance requirements.Case Management and Support:Assist with managing caseloads during transitions, vacations, and other periods of change to ensure continuity of care.Act as a resource for staff, providing consultation and support for challenging cases and clinical concerns.Review and approve clinical notes for accuracy, content, and compliance, providing feedback and guidance, as necessary.Plan and lead team meetings, addressing operational and clinical issues and fostering team collaboration.Quality Improvement and Reporting:Contribute to the development and monitoring of internal Quality Improvement programs.Oversee and track critical reports, including CNRs, RAIs (Requests for Additional Information), incident reports, and eCAP monitoring.Ensure timely submission of required reports related to beneficiary and staff outcomes as mandated by DHB and organizational policies.Monitor and enforce compliance with service delivery timelines and guidelines as set by DHB.Collaboration and Advocacy:Act as a liaison between the CAP program and state agencies to promote program alignment and resolve issues.Engage with community organizations to promote the CAP program and support its growth.Support staff in providing the fullest capacity of services to clients, ensuring alignment with person-centered care principles.All other duties as assigned.SUPERVISORY RESPONSIBILITIES:This position supervises clinical staff.MINIMUM QUALIFICATIONS:Strong understanding of Medicaid, CAP program guidelines, and state and federal regulations.Proficiency with clinical documentation systems such as eCAP Business system, NCTracks, Workday, and PACEnet systems.Excellent leadership, organizational, and communication skills.Proven ability to mentor, train, and support Case Managers in clinical and operational practices.Ability to manage multiple priorities and ensure compliance with deadlines.Education and Experience:Candidates must meet one of the following criteria:Social Work Background:Bachelor’s degree in social work from an accredited school of social work.Minimum of five years of directly related experience, preferably CAP case management, in the health or medical field (homecare, long-term care, or personal care).Human Services Background:Bachelor’s degree in a human services or equivalent field from an accredited college or university.Minimum of five years of community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).Completion of a NC Medicaid-certified training program within 90 calendar days of employment.Nursing Background:Current North Carolina Registered Nurse (RN) license with a two-year or four-year nursing degree.Minimum of five years of case management experience, preferably CAP case management, in homecare, long-term care, or personal care.PHYSICAL DEMANDS AND WORK ENVIRONMENT:Must be able to lift a minimum of 10 lbs.Must be able to pull a minimum of 20 lbs.Must be able to squat, kneel, crawl, crouch, climb, and stoop.Required to regularly stand and walk.RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.#RHAIDDPre-employment screening:Complete criminal backgroundName checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)Drug testingEducation verification and other credentialing based on position requirements.Proof of employment history or references (if required)Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.We offer the following benefits to employees:Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!Employee perks and discount program: to help you save money!Paid Time Off (full-time employees only)Health/Insurance (full-time employees only)401(k) retirement savings programWellbeing Programs: Physical, Emotional and FinancialChronic Disease management programs for hypertension and diabetes (for qualifying employees)Training: Free CPR, first aid, and job-specific training opportunities*contract/contingent workers and interns do not qualify for any of the above benefitsEEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.About RHA:At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.If you are ready to make a difference in the lives of people we serve and support apply to join the team today.