Supervisor, Intensive Community Care - Registered Nurse

Supervisor, Intensive Community Care, RN

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We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.

The Supervisor, Intensive Community Care, RN is a multi-market leadership position responsible for leading a team of Intensive Community Managers (ICCMs) in specific markets to deliver on managing their case load by providing onsite and remote planning, clinical group leadership and expert technical guidance to their team. Directly reporting to the Manager of ICC, this Supervisor is responsible for their teams members assigned patient case load whose role is to proactively manage their assigned patients to prevent unnecessary hospital arrivals. The success of this role will be measured by number of hospital arrivals for the patients in their care. The supervisor's role works closely with the manager to achieve success in assigned markets and provides manager coverage when needed for the region. The Supervisor of Intensive Community Care, RN, Complex Care will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures. The Supervisor of Intensive Community Care (ICC) directly manages specific market teams that will include multiple areas and ICCMs. As a member of the Complex Care Team, this role is responsible for high-value care across multiple regions, to serve as coach, mentor/trainer to all members of care management team, giving guidance in best practices, troubleshooting to optimize the value of care in hospital and community setting.

Essential Job Duties/Responsibilities:

• Supervises a team of Intensive Community Managers (ICCMs) to deliver on reducing the number of hospital arrivals for the patients within their care and for a period of time post program.
• Actively involved in the full employment cycle of direct reports, including but not limited to: participation in the recruitment process, annual performance appraisals, day-to-day oversight of staffing/scheduling needs, weekly time, time off approval, team vacation coverage plan, active nursing license verification, problem solving, exit interviews and termination/counseling decisions.
• Provides coverage for the Manager of Manager of Intensive Community Care when needed.
• Advocates for and assists Intensive Community Managers (ICCMs) with ensuring patients achieve optimal health, access to care and appropriate utilization of resources.
• Consults with, encourages and influences physicians, specialists, and other providers to refer patients to care management for assessment, planning, implementation, coordination, monitoring and evaluation to develop an individualized care plan prior to hospitalization which can result in decreased admissions and hospital sick days. Aids in identifying areas of opportunities at the PCP, center, and market level.
• Displays leadership skills, mentoring staff to achieve success.
• Serves as the resident CM and DM expert to support Intensive Community Managers (ICCMs) needs for market specific education.
• Facilitates medication reconciliation and adherence education; disease education and coaching; advance directive/end of life discussions and referral/authorization management with Intensive Community Managers (ICCMs) as needed.
• Assesses and reassesses the patient's progress utilizing telephone and other technologies and resources. Depending on the progress, implements appropriate interventions to obtain optimal outcome.
• Educates a team of ICCMs on plans of care as necessary with the healthcare team, family, and providers.
• Assists with development and implementation of case management policies, processes, and standard operating procedures (SOPs) as appropriate.
• Attends meetings that require Care Management (CM) and Disease Management (DM) participation relay information as needed to all Intensive Community Managers (ICCMs)
• Demonstrates how to conduct educational programs for PCP's, Chen Med staff, and tier one hospital staff.
• Identifies and shares best practices to advance efficiency and performance.
• Assists with workflow efficiency improvement for clinical and operational practices.
• Develops and support the implementation of SOPs
• Completes individual plan of care with patients and team members.
• Communicates instruction and methodologies as appropriate to ensure that the plan is implemented correctly.
• Monitors and manages clinical and financial coordination of treatment plan of assigned patients to ensure timely, cost-effective, individualized service delivery to prevent unnecessary hospital arrivals, ensure patients are on their appropriate medication, and receive appropriate coordinated specialty care as needed.
• Facilitates inter-disciplinary rounds in conjunction with market, regional, and home office physicians and leaders for discussion of complex needs and follows up on action items.
• Monitors, reports out, and addresses areas of opportunities progress towards goals, KPIs, and daily actions of market teams.
• Serves as preceptor when assigned
• Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services.
• Performs other duties as assigned and modified at manager's discretion.

Knowledge, Skills and Abilities:

• Proven working experience in case management.
• Excellent knowledge of case management principles, healthcare management and reimbursement.
• Knowledge of adult learning techniques
• Effective communication skills.
• Excellent organizational and time management skills.
• Familiarity with professional and technical emerging knowledge.
• Problem solving skills and ability to multi-task.
• Compassionate with teamwork skills.
• Skill in the analysis and re-engineering of systems, processes, and procedures.
• Ability to develop, implement, and modify multidisciplinary health care plans.
• Familiar with standard concepts, practices, and procedures within a particular field. Relies on extensive experience and judgment to plan and accomplish goals.
• Fluent in English.
• Ability and willingness to travel locally, regionally and/or nationally up to 20% of the time.

Education and Experience Criteria:

• Associate degree in Nursing required.
• Bachelor's Degree in Nursing or RN with Bachelor's Degree in related field preferred.
• Must be a Registered Nurse with over three (3) years of clinical experience.
• Compact license required if available in state.
• A minimum of 2 years' onsite case management at ChenMed and/or utilization review or discharge planning in a hospital at ChenMed. Special permission to hire outside of this requirement may be granted by the Director of CM/DM.
• Maintain current professional licensure in nursing or professional field of certification.
• Hospital, healthcare setting experience important.
• Certified in Case Management or obtained within one (1) year of employment highly preferred.
• Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment
• Possession and maintenance of a current, valid driver's license is required.
• Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) preferred.

We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.