Job Description

The Supervisor, Nursing Care Management, manages a patient case load in addition to leading the Nurse Care Managers. Along with the Manager, the Supervisor provides guidance on departmental and organizational policies and procedures, clinical consultation, and problem-solving to ensure patients receive timely, effective, and high-quality care. .

• Full-Time/Full Benefits eligible
• Monday-Friday - 8:00am-4:30pm
• Westerville, OH

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Provide ongoing coaching, education, and mentorship for direct reports and assist with training and mentoring new staff in collaboration with nursing preceptor; serve as a mentor for the team and collaborate with other departments and staff to build relationships.
• Participate in interviewing, selecting, hiring and training new team members.
• Ensure direct reports adhere to organizational policies and departmental standards and provide individual coaching as needed; serve as a resource to team on complex issues; provide support for planned/unplanned absences.
• In collaboration with Manager, conduct performance reviews and related actions and address personnel processes/issues including conflict management and disciplinary action & follow-up with the goal of attracting and retaining employees.
• Lead clinical huddles to ensure collaboration of workload and case discussions.
• Maintain a reduced patient caseload of 10 to 20 patients and is expected to provide coverage for team members’ absences (e.g., PTO, leaves, etc.)
• Monitor caseloads and incoming referrals and adjust workload as necessary.
• Ensure staff maintain strong knowledge of all clinical processes, workflows, and policies.
• Collaborate with practices to understand care management needs and assist in relationship building as needed.
• Work to elevate Care Management staff to be the best for our patients, our Physicians and each other.
• Complete quarterly audits to ensure the delivery of patient care is timely and safe; assign file audits to the staff to meet this requirement.
• Conduct 90-day and annual performance evaluations in conjunction with department manager.
• Monitor Clinical Dashboard for High ED utilization and patients on caseload greater than or equal to 365 days (12 months) to ensure appropriate care plan interventions to meet patients’ needs.
• Stay updated on current trends in the healthcare industry and develop relationships with community-based organizations to partner for patient care needs.
• Conduct home visits with staff at least quarterly to evaluate clinical competency and provide feedback.
• Other job-related duties as assigned.

QUALIFICATIONS:

Experience, Education, Licensures & Certifications

• Required: Minimum of five (5) years of care management experience in acute care, home health care, hospice, managed care, or community behavioral
• Required: Minimum of five (5) years of management or progressive leadership experience.
• Required: Active Ohio RN License.
• Required: Active Ohio driver’s license with the ability to travel throughout COPC’s service area.
• Preferred: CCM designation or equivalent.
• Preferred: Bachelor of Science in Nursing (BSN)

Knowledge, Skills & Abilities

• Thorough knowledge and understanding of clinical protocol, procedures, workflows, and standards within area of care management and nursing practice.
• Ability to apply clinical acumen; knowledge of nursing scope of practice as it relates to RN/LPN collaboration and delegation of nursing activities.
• Proficient in Microsoft Office applications (Outlook, Excel, Teams, etc.) and Electronic Health Records (Epic preferred).
• Comprehensive knowledge of care management standards (CMSA) as well as evidence-based nursing practice standards.
• Advanced skills and knowledge in care management areas including but not limited to legal, ethical, and social
• Excellent verbal and written communication skills and the ability to present effectively to small and large
• Strong interpersonal skills and ability to work effectively and collaboratively at all levels of the organization.
• High level of attention to detail and accuracy; highly organized
• Self-motivated and an inspiring leader.
• Ability to provide operational guidance and leadership to care management staff.
• Ability to provide coaching to staff and facilitate effective crucial conversations
• Ability to work in a busy work environment and appropriately handle stressful situations.