Case Manager Supervisor (Registered Nurse) - Medicaid - Wilson Community Health Center

Population Health Manager (Registered Nurse) - Medicaid Managed Care

Come join our "Family" and be part of providing healthcare in the community…for the community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence…where patients come first. Regardless of an individual's ability to pay or their insurance status, we believe that everyone deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy, and dental services in an integrated model that provides a comprehensive approach to care for our patients.

Position Overview

The Population Health Manager (Registered Nurse) - Medicaid Managed Care oversees the day to day activities of the Population Health Program. This is accomplished through the direct supervision of case managers and care coordinators who provide care management, transition of care, care coordination, and other population management activities to the patients of CFHC, Inc. with an emphasis on patients with Medicaid. The manager is knowledgeable in the principles of case management, including Medicaid managed care and works closely with the CFHC, Inc.'s clinically integrated network. The manager provides case management services to a small case load of patients.

This position offers a 40-hour workweek, no weekends, full benefits package, 12 paid holidays, bi-annual bonus, bi-weekly pay.

Essential Tasks

• Provides direct supervision to the case managers and care coordinators. This includes but is not limited to interviewing, hiring, providing training and orientation, distribution and determination of responsibilities, and the on-going evaluation of the staff's performance.
• Monitors staff productivity and department success through regular reporting and communication to executive staff.
• Performs audits and run reports to monitor staff's adherence with CFHC, Inc., the Carolina Medical Home Network, and other regulatory agencies rules and regulations for providing and documenting case management services.
• Represents CFHC, Inc. at Carolina Medical Home Network meetings. Attend other meetings and participate in committees as assigned (i.e., Population Health CIT, etc.).
• Reviews software system functionality and develop and document efficient workflows for staff.
• Serves as point of contact for local hospitals' discharge planners to identify patients admitted to the hospital or patients who have used the emergency room in hopes of reducing 30-day hospital readmission rates or inappropriate emergency room use.

Experience and Education

Graduate of an accredited school of nursing. Licensed as a Registered Nurse in the State of North Carolina. Three years in a healthcare environment with supervisory/management background and experience in case management. Must have personal vehicle readily available to freely travel in the local area; between clinics, hospitals, health departments, etc.

Schedule

Monday to Friday 8am-5pm 8 hour shift Day shift

Physical Requirements

Constant standing and walking, occasional bending, stooping, lifting, reaching forward and overhead. May occasionally be required to lift patients, office equipment and paper, usually not exceeding fifty pounds of direct lift. Frequent computer work required.

Benefits

401(k) and match AD&D insurance Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Holidays Vision insurance

Job Type

Full-time, On site

License/Certification

Active NC Driver License. Registered Nurse (RN).

Base Pay Overview

The starting pay for this position is $68,640.00. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the roles.