Case Manager Supervisor

Description:

Reporting to the Assistant Vice President – Case Management, the Case Manager Supervisor assists the AVP with oversight on the operations and functions of Nurse Case Management staff and contractors. This staff may include Field/Telephonic Case Managers, Care Coordinators as well as clinical/ administrative personnel dedicated to specialized nursing programs.

Position Logistics: Full-time, exempt status, occasional travel required.

Responsibilities may include, but are not limited to:

• Responsible for the oversight of CM services delivery in compliance with local, state, and federal regulations, as well as the organization's policies and procedures
• Utilization of the nursing process to facilitate all case management activities.
• Direct day to day supervision of licensed and unlicensed staff, which requires:

o Manage 1-3 CM Team Leads in addition to 11-18 nurses (Field and or Telephonic), accounting for complexity of client and cases

o Evaluating individual staff performance, overseeing QA evaluation, ensuring high quality performance and customer satisfaction

o Regular QA and use of available metrics to review and ensure a quality product.

o Orients and trains case management staff on case management processes.

o Forecasting staffing needs based on existing inventory and potential business growth.

o Participating in the interview process to hire new staff, as needed.

o Attending regular teleconferences/meetings to review specific customer data/results and provide input necessary for the specified program.

o Planning, coordinating, and participating in staff in-services and training seminars.

o Completing actual work in case management, as appropriate and needed

o Proofing reports prior to delivery to the customer

o Managing ongoing development of nursing programs, including orientation and customer training, as needed

o Involving direct manager and conducting personnel management meetings (including terminations) with assigned staff, as needed.

• Collaborate with department managers, administrative staff, and other employees to ensure appropriate distribution of staff to manage incoming workload.
• Adhering to all HIPPA guidelines as it relates to medical information and reports.
• Works with all clients (dedicated and non-dedicated) to facilitate, manage, and execute Case Management services.
• Actively communicate with internal and external customers in a timely and effective manner.
• Collaborates with the Director of Specialty Services to develop policies and procedures, as well as written short term and long-term plans to implement and facilitate achievement of department objectives.
• Participation in the quality management plan for the CM department, including quarterly quality audits.
• Transparent communication is expected with all managers on a regular basis to maintain strong internal working relationships.
• Keep abreast of industry changes and bring to meetings any information that can elevate the department.

Requirements:

• Bachelor’s degree or equivalent experience preferred.
• Graduate of an accredited school of nursing
• Valid state-appropriate RN license in good standing with no restrictions
• Valid CCM in good standing with no restrictions
• 7-10 years of management experience and exceptional leadership abilities required.
• Experience in the insurance, workers compensation or related healthcare industries strongly preferred
• Valid Driver’s license in good standing
• Strong presentation/ public speaking skills required
• Strong interpersonal and communication skills; conflict resolution and mediation skills
• Ability to foster a collaborative work environment
• Must be self-directed and motivated; Must be capable of managing operations independently with minimal direct oversight and supervision on a day-to-day basis
• Strong Organization Skills
• High comfort level with computers and computer programs (MS Word, MS Excel, Email)
• Ability to meet deadlines in a high pressure, time sensitive environment
• Ability to lift to 20 lbs.

Physical Requirements: Candidate must be able to sit the majority of the day. Candidate must be able to keyboard the majority of the day. Candidate must have manual dexterity. Candidate must be able to speak on the telephone intermittently throughout the day. Candidate must be able to read and write English fluently. Candidate must be able to provide and confirm safe home office environment. Home office must be HIPAA compliant.

*Requires DSL, fiber, or cable internet connection from home 100 mbps preferred or better *