CAP Clinical Supervisor East Region

RHA Health Services, LLC; United States; Vor Ort; USD 70.000 - 110.000; Vollzeit

Benefits dieser Stelle

Payactiv

401(k) retirement savings

Health Insurance

Paid Time Off

Zusammenfassung

RHA Health Services, LLC is seeking a CAP Clinical Supervisor for the East Region. The role focuses on supervising and coordinating CAP case management for medically complex clients living at home while ensuring adherence to Medicaid and CAP guidelines.

You will mentor staff, review clinical notes, and support regional program delivery. Ideal candidates hold a social work degree (or nursing/human services equivalents) with 5+ years in case management and strong leadership, communication, and

Qualifikationen

• 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.
• Bachelor’s degree in human services or equivalent field and five years of community experience.

Aufgaben

• Complete initial and annual assessments.
• Facilitate CAP case management services with high quality and compliance.
• Oversee services to ensure alignment with federal/state regulations and CAP guidelines.
• Provide training and development to staff on clinical documentation and practice.
• Lead team meetings and contribute to Quality Improvement programs.

Kenntnisse

Leadership

Clinical documentation

Regulatory compliance

Communication

Mentoring

Ausbildung

Bachelor’s degree social work

RN license

Bachelor’s degree human services

Tools

eCAP

NCTracks

Workday

PACEnet

Jobbeschreibung

We are hiring for: CAP Clinical Supervisor East Region Type: Regular

If 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

• 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.
• 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.
• 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.
• 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.
• 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.
• 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

• 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).
• 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.
• Completion of a NC Medicaid-certified training program within 90 calendar days of employment.

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.

Equal Employment Opportunity & Disability Accommodations

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.

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.

Benefits

• 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 program
• Wellbeing Programs: Physical, Emotional and Financial Chronic 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 benefits

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

We want you to join our team of compassionate professionals. To learn more, visit rhahealth.org or email us at [e-mail].

RHA Health Services – Where Compassion Meets Career.