Supervisor, Managed Long Term Services and Supports (Clinical)

L.A. Care Health Plan

Los Angeles (CA)

On-site

USD 102,183 - 163,492

Full time

14 days+

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Benefits offered by this job

PTO

Tuition reimbursement

Retirement plans

Medical, Dental and Vision

Wellness Program

Job summary

L.A. Care Health Plan in Los Angeles, CA is seeking a Supervisor for Managed Long Term Services and Supports (MLTSS). You will lead clinical staff, coordinate scheduling, and drive performance improvement within a patient-focused, regulatory-compliant environment.

Responsibilities include staff development, cross-functional collaboration with medical directors and care teams, and ensuring services meet DHCS/CalAIM requirements while delivering high-quality member care.

Qualifications

RN with active CA license and clinical nursing experience.
Minimum 2 years in supervision or staff leadership.
Experience with Medi-Cal regulations and Care Management.

Responsibilities

Directs clinical staff; manages schedules, PTO, and performance feedback.
Oversees daily workflow; mentors staff and ensures productivity.
Monitors performance for quality and regulatory compliance.
Collaborates with Medical Directors and interdisciplinary care teams.
Maintains positive stakeholder relationships for member care.

Skills

MLTSS knowledge

Regulatory compliance

Leadership

Communication

Team mentoring

HIPAA

Microsoft Office

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Job description

Supervisor, Managed Long Term Services and Supports (Clinical)

Job Category: Clinical

Department: Managed Long Term Services and Supports

Location: Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 13218

Salary Range: $102,183.00 (Min.) – $132,838.00 (Mid.) – $163,492.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Supervisor, Managed Long Term Services and Supports (MLTSS) supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. This position provides a high-performing, collaborative work environment aligned with departmental goals.

The Clinical Supervisor assists in triaging and resolving operational issues within the scope of work and escalates matters to the senior management when appropriate.

The Supervisor supports the department’s program development and continuous process improvement efforts, participates in cross-functional workgroups and committees, and contributes to the creation and maintenance of policies, procedures, job aids, and training materials to support staff education and competency.

This position is also responsible for ensuring all functions are operating in accordance with the organization's mission, values, and strategic goals, which are focused on continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership.

Duties

Directly responsible for the development, organization, direction and oversight of assigned clinical staff. Supervision of staff includes, but not limited to monitoring of day-to-day activities of staff, creates schedules, manages PTO requests, provides guidance and feedback to staff on performance, mentoring, training, and cross-training of staff, addressing questions or issues raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others.

Responsible for the daily workflow and supervising the work of assigned staff, the overall efficiency and productivity of assigned team. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.

Monitors staff performance including but not limited to productivity, quality and compliance with regulatory and organizational requirements.

Serves as the primary resource for internal stakeholders regarding program-related inquiries and technical issues; escalates to MLTSS Clinical Management when necessary. Acts as a consultant to other business units and organizations as needed.

Evaluates operations and recommends process improvements to streamline workflows, enhance efficiency and productivity to achieve departmental goals and performance metrics.

Demonstrates subject matter expertise in MLTSS program requirements and maintains working knowledge of federal and state regulations, including but not limited to Department of Health Care Services (DHCS) All Plan Letters (APL), Title 22, CalAIM, and provider contractual obligations. Educates and provides resources for management team on key initiatives to facilitate communication between key internal and external stakeholders.

Leads collaboration with Medical Directors, social workers, and interdisciplinary care team (ICT); actively participates in ICT meetings and provides recommendations related to MLTSS administered programs.

Serves as a lead liaison for MLTSS, developing and maintaining positive working relationships with internal and external stakeholders to support optimal member care and provider satisfaction.

Oversees and monitors provider performance to ensure adherence with regulatory standards and contractual agreements. Participates in provider audits and quality improvement initiatives.

Collaborates with Provider Network Management (PNM) and participates in Joint Operations Meetings (JOM).

Performs other CM and UM functions as assigned and as needed /required by L.A. Care, to maintain regulatory requirements and company objectives.

Perform other duties as assigned.

Education Required

Associate's Degree in Nursing

Education Preferred

Bachelor's Degree in Nursing

Experience

Required:

At least 5 years of clinical nursing experience in direct patient care, such as ambulatory care, home care, palliative care, hospice care OR experience in Utilization Review or Care Management will be considered in lieu of direct patient care.

At least 2 years in leading a process, program and/or staff or supervisory experience.

Experience with state Medi-Cal regulations and requirements.

Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.

Skills

Required:

In-depth knowledge of MLTSS administered services such as Community Based Adult Services (CBAS), Skilled Nursing Facility (SNF) services, Intermediate Care Facility for Developmentally Disabled (ICF/DD) services, CalAIM Community Supports, Palliative and Hospice Care.

Knowledge of state, federal and regulatory requirements in Utilization Management and Care Management.

Strong clinical and leadership skills with a knowledge of care needs for elderly, disabled, and/or frail populations and has applied knowledge of End-of-Life care.

Excellent verbal and written communication skills.

Excellent problem solving, planning and organizational skills. Strong time-management and priority-setting skills.

Must be detailed-oriented, energetic, and an enthusiastic team player.

Provision of excellent customer service required due to frequent communication with providers, members and interdisciplinary team.

Must be computer literate and proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint, Teams).

Effectively utilize computer and appropriate software and interacts as needed with L.A. Care Information System.

Must be able to work independently.

Maintains strict member confidentiality and complies with all HIPAA requirements.

Preferred:

Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.

Licenses/Certifications Required

Registered Nurse (RN) - Active, current and unrestricted California License

Licenses/Certifications Preferred

Case Management Certificate

Physical Requirements

Light

Additional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

Benefits

L.A. Care offersa wide range of benefits including