Job Description

Job Title:                       RN, Care Management Nurse Supervisor

Reports To:                   Nursing Program Manager

Job Summary:                     Provides leadership and supervision for the nursing care management program.

                                                                                                                                                                       

Qualifications and Requirements:

  The requirements listed below are representative of the knowledge, skill, and/or ability required.  The job duties may be modified at any time based on business needs.

 

Essential Job Duties:

  • Develops and maintains a care management registry of high-risk patients in collaboration with patients, families, providers, and insurances.
  • Works with various platforms from hospitals and insurances to facilitate hospital admission and emergency room follow up.
  • Delegates care management to Nurse Care Manager at patient’s clinic site.
  • Assures care management panel size is conducive with high quality care.
  • Supports Nurse Care Manager in developing care plans and providing care management to patients.
  • Develops and implements ongoing processes with Nurse Care Managers to determine level of care coordination support that patients and caregiver(s) need and/or desire.
  • Assists in conducting triage or gathers information regarding urgent patient needs and communicates with provider to resolve patient care issues promptly.
  • Participates in meetings regarding value-based contracts, accountable care, and other quality initiatives.
  • Develops and implements ongoing processes with Leadership, Nurse Care Managers, and other departments to improve quality metrics or workflow in specialized populations, such as diabetes, cancer screening or payor associated QI projects.

 

Promotes the PCMH Model

  • Assists in promoting and implementing PCMH initiatives.
  • Regularly participates in leadership, staff, and other quality improvement meetings to educate staff and facilitate participation in PCMH initiatives.
  • Represents CCHCI’s implementation of PCMH within the context of institutional and community forums.

 

Supervises Nurse Care Managers

  • Supervises all Care management nurses, to include hiring, training, evaluating, and conducting disciplinary actions and other personnel actions as required.
  • Facilitates needed education and training in support of nurse care manager duties.
  • In collaboration with Nursing Program Manager, develops, plans, and implements policies, procedures, and workflow for the care management program.

                                                           

Required Education, Experience, Certificates & Licenses:

  • Registered Nurse degree from an accredited nursing program required.
  • Current Unrestricted Arizona State Nursing license required.
  • 2 years experience in clinical or community setting required.
  • Cardiopulmonary Resuscitation (CPR) certification required.
  • Any combination of education and/or experience that provides the necessary skills required may be considered.
  • Driver's License and Proof of Insurance may be required if requesting mileage reimbursement.
  • Valid Fingerprint Clearance Card required.

 

 

 

Preferred Education, Experience, Certifications & Licenses:

  • Care coordination or case management experience preferred.
  • Supervisory experience preferred.

 

Required Language Skills:

  • Ability to comprehend and compose instructions, correspondence, and communications in English in both oral and written format.
  • Bilingual in English and Spanish is preferred, but not required.
  • Ability to effectively present information in one-on-one and small group situations to patients, internal providers and staff and other agency staff working in cooperation with the organization.

 

Physical Requirements:

  • Ability to frequently exert enough force to move objects weighing up to 25 pounds.
  • Ability to continuously remain in a stationary position.
  • Ability to constantly move about inside the workplace to assist patients, operate office or medical equipment, etc.
  • Possesses hand-eye coordination and manual dexterity necessary to constantly operate computer, telephone, other office machinery, and medical equipment.
  • Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.
  • Ability to discern the nature of sounds at a normal spoken volume.
  • Possesses range of body motion and ability to exert enough force to lift and move adult and pediatric patients.

 

Other Required Knowledge, Skills, and Abilities:

  • Ability to perform medical math that may include the use of ratio/proportion, dosage calculation, metric and household equivalents, roman numerals, abbreviations, and general math including percentages, etc.
  • Ability to gather data in an organized fashion from varied sources.
  • Ability to perform a variety of assignments and make decisions requiring independent judgment.
  • Ability to resolve challenges and work under pressure.
  • Knowledge of local community health care and social welfare resources.
  • Knowledge of health plans and community health centers preferred.
  • Knowledge of HIPAA rules and regulations.
  • Knowledge of regulatory requirements and legislation that impact clinical services and professional practice.
  • Computer literacy required.
  • Knowledge of Electronic Health Records preferred.
  • Ability to prioritize and plan work activities, use time efficiently and develop realistic action plans.

 

Work Environment & Conditions:

  • Work environment is typical of a health clinic or administrative office setting with occasional exposure to communicable diseases, bodily fluids, and hazardous chemicals.
  • Work requires reliable transportation as position requires frequent travel and extended hours to include early mornings, evenings, and weekends.
  • Work requires ability to be contacted by cell phone during or outside of regular work hours.