Care Management Supervisor (RN) Mettowee

Community Health Centers of the Rutland Region • Pawlet, VT

6d

About The Position

The Care Manager Supervisor will facilitate and ensure a structured, thoughtful, planned, and integrated plan of care and process for all Community Health patients. They will oversee care management to include staff development, compliance, and quality improvement, while ensuring that clinical standards and regulatory requirements are met. They will help in the identification of patients at risk based on risk stratification. They will have a high level of knowledge re. high utilizers of ER services and patient readmissions. Will work directly as a team member providing Care management services in the designated Practice and coverage if necessary.

Requirements

• Current Vermont RN.
• CPR Certification.
• Prior experience working in a nursing position required; prior case management experience in a similar outpatient setting preferred.
• Experience in using a variety of electronic medical record and ability to learn other systems, basic keyboarding skills and email communication.

Nice To Haves

• BSN, CCM certified preferred.

Responsibilities

• Collaborate with interdisciplinary team.
• Professional behavior and development
• Provides Information/Referral Services for Community Resources
• Participates in Required Departmental Activity
• Provides Clinical Supervision
• Clinical and Administrative Duties
• Perform all supervisory functions for members of the Care management Team.
• Conduct case reviews, audits patient charts as necessary, ensures policies are being followed including documentation timelines.
• Reviews clinical documentation for accuracy and continuity with quarterly chart audits
• Conducts biannual and /or designated reviews.
• Performs all 90-day reviews.
• Assists Director of Population Health & Quality with program planning, implementation, evaluation activities, and other duties as assigned.
• Conduct interviews for all potential candidates.
• Ensures that team provides CCM services for those that qualify in the Medicare/Medicaid program.
• Actively participates and coordinates in any quality management initiatives.
• Investigates and supports grant writing efforts.
• Works with the CHT (Community health Team), SASH, VCCI, RMH and other community resources to coordinate care.
• Works with billing department to ensure services are being billed correctly.
• Coordinates Primary Care Management services at all Community Health sites.
• Assists in the training and coordination of Training/Education of new Care Management staff.
• Participates in community collaboratives that have an impact on optimal care management services.
• Conducts performance evaluation at regular intervals.
• Participates in hospital-wide committees, initiatives, and projects.
• Actively invoices CHT invoices for Care management services.
• Evaluates staff for established/anticipated productivity standards.
• Communicate with referral sources and maintain relationships that enable ongoing communication.
• Make collateral contact with the primary care providers Clearly communicates the social work role with healthcare team and actively participates in team planning for patient care.
• Participates in development of care plans or other programs/projects that maximize continuing care efficiencies and effective outcomes.
• Provides employee assistance on request.
• In collaboration with Human Resources, provides counseling and discipline when needed.
• Creates, adjusts and reviews EMR workflows.
• Other duties as assigned.

Benefits

• Work Life Balance
• Generous Time Off
• Medical, dental, and vision insurance.
• Health savings account option.
• Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule.
• Comprehensive Wellness Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed
• Number of Employees: 101-250 employees