RN Supervisor, Case Management- 1.1 Bakersfield

Description

Location: Bakersfield, CA 93309 (Onsite)

Classification:

Full-Time (Non-Exempt)

Benefits:

· Medical

· Dental

· Vision

· Simple IRA Plan

· Employer Paid Life Insurance

· Employee Assistance Program

Compensation:

The initial pay range for this position upon employment commencement is expected to be between $85,000.00 and $145,000.00 annually, translating to $40.87 to $67.71 per hour. However, the base pay offered may be adjusted based on individualized factors, including the candidate's education, certifications, skills, and experience. We value exceptional talent and strive to provide competitive compensation packages tailored to attract and retain top candidates like yourself.

Position Summary:

The Supervisor of Case Management, under the supervision of the Director of Clinical Programs, is responsible for the day-to-day operations of the Enhanced Care Management (ECM) Program, including the oversight of case management activities, program compliance, and staff. The ECM Program addresses the clinical and non-clinical needs of members with the most complex medical and social needs through systematic coordination of services and comprehensive care management. ECM is intended to service those with chronic health conditions, are homeless or at-risk, with high hospital admissions, substance abuse, and/or behavioral health needs. This position requires a leader with strong interpersonal skills, critical thinking, building skills, ability to effectively lead a high-performing team and foster continuous learning.

Job Duties and Responsibilities:

• Supervises day-to-day case management operations and assigned staff.

• Meets and facilitates meetings with ECM teams to provide updates and develop strategies for program quality assurance and quality improvement.

• Assists in the hiring and onboarding of new staff, managing employee relations and disciplinary actions.

• Provides oversight of case management activities and provides prompt and actionable feedback to subordinates.

• Conducts regular staff meetings, including communication and training of program policies and procedures, outcomes and evaluations, and compliance matters.

• Manages and monitor case assignments and ECM staff caseload management, including timely case follow-up based on acuity and care plan needs.

• Interprets and explains program requirements and policies to staff, clients, and the community.

• Works with leadership, providers, and managed care to develop and implement patient focused care plans for clients with chronic conditions.

• Conducts regular reviews of patient’s chart to ensure quality services are provided and documented by Lead Care Managers consistently and accurately.

• Provides and ensures all staff receive all new hire and annual trainings on time.

• Responds to patient inquiries and refer members to other departments, social services, or support services as needed.

• Provides supervision, training, resources, monitoring and mentoring to the clinical and non-clinical staff within the ECM Program per departmental policies and health plan requirements.

• Perform case audits to verify consistency and effectiveness of compliance with standards of care, documentation, and provision of services.

• Collaborate with other disciplines, oversees the development, implementation, monitoring, and modification of the plan of care for the member through a collaborative and interdisciplinary team approach.

• Facilitates interdisciplinary care meetings and assist in identifying opportunities for care.

• Provide education to Case Management staff related to member assessment completion, care plan development and follow-up, and other core ECM services, according to ECM policy guidelines.

• Utilizes reports for process and productivity improvements.

• Maintains time and attendance for designated employees.

• Facilitates and participates in audit reviews and corrective action plan development and implementation.

• Establishes orientation and training plans for Case Management staff to promote consistency in program delivery.

• Manages and participates in new hire processes and employee evaluation processes.

• Collaborates with Medical Management Director and leadership team regarding service objectives.

• Performs other duties and projects, as assigned.

Requirements

Qualifications

• Licensure: Current California RN license required.

• A bachelor's degree in nursing from an accredited school of nursing preferred.

• Minimum of two (2) years RN experience.

Skills and Abiliti