(Hybrid Georgia) Supervisor, Care Management

Supervisor of Care Management

Hybrid Metro Atlanta

Some Travel Required

In this role, you will oversee the performance of a group of care managers, care coordinators, and transitional care specialists under our model of value-based care.

The Supervisor of Care Management for the Georgia market is a full-time, exempt role reporting to the Manager of Care Management. They lead the provision of care management services for our care managers and care coordinators, ensuring compliance with policies, regulations, and quality standards. The role may also involve filling in for a care manager when needed.

• Manage each team member of the Transitional Care Management team through frequent communication, case reviews, performance evaluations, onsite assistance, and as a resource as needs arise
• Lead orientation and training for new Transitional Care Management staff related to managing role/workflow expectations
• Perform case reviews of RN CM peers evaluating policy/protocol adherence, interdisciplinary team collaboration, and utilization trends of engaged populations
• Provide peer to peer feedback related to productivity and caseload management opportunities
• Work collaboratively with market leadership to develop and refine workflows and processes representing clinical best practices
• Represent CMs on established case review meetings for utilization management
• Host team meetings for complex case reviews, workflow review and team building purposes
• Travel to market clinics to meet with practice leadership, as requested, representing CM roles, functions, and opportunities to drive improved patient care
• Ensure educational compliance of RN team members via LMS and annual compliance trainings
• Monitor metrics and provide data (qualitative and quantitative) as request by supervising director
• Actively engage high-risk identified patients, develop patient centered plans of care and provide interventions to patient with the goal of achieving patient self-advocacy and improved outcomes
• Communicate assessment findings, care plan goals, interventions and outcomes to PCP, patients and caregivers in a timely manner
• Assist in utilization management by reviewing patients risk factors and associated utilization history and developing care plans aligned to improved quality of life and decreased cost of care
• Acutely manage high-risk patients post-discharge, decreasing risk of readmission and engaging in longitudinal care management
• Screen and refer patients to multidisciplinary care team members to ensure both physical and social health needs are met
• Identify gaps in care and adherence, educate patients on preventative care and mitigate barriers to gap closure
• Employ motivational interviewing skills to elicit optimal member engagement/outcome
• Maintain a core understanding of population health management as it specifically relates to high-risk patients and the triple aim
• Other tasks as defined by leadership

Skills for success

• A collaborative communication style and the ability to coordinate interdepartmentally
• Strengths based management style and the ability to give constructive feedback
• Passion for data driven quality patient care
• The ability to be flexible in an ambiguous and dynamic environment
• A service orientation and a "can do" attitude
• A willingness to learn on your own and take initiative
• A low ego and humility; an ability to gain trust through good communication and doing what you say you will do
• Cohesive work with other clinical and administrative teams

Experience to drive change

• Bachelor's degree required
• Current licensure (RN) in the state of Georgia
• 3+ years of direct, clinical nursing experience
• Minimum of 2 years of case management experience
• Certification in case management preferred
• 2 years of leadership experience preferred
• Experience using EMRs related to documentation and reporting capabilities
• Proficient use of technology including Microsoft suite of products

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

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