Supervisor, Nurse Case Management

Berkley•Luverne, MN

2d•Hybrid

About The Position

Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker’s successful and speedy return to work is good for people and good for Berkley’s insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology as a way to deliver the best outcome for injured workers and Berkley’s operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers’ compensation cases. To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley’s operating units with reliable results, and reduced time and expenses associated with case management.

Requirements

Must possess a current RN license
Proven coaching and leadership skills
Full working knowledge of Nursing Scope of Practice
Excellent Listening, Communication, and Writing skills
Experienced with Excel, Word, and Power Point
Minimum of 2 years in a leadership role, either formal or informal
Experienced with worker’s compensation case management preferred
Must be self- directed, professional, and be proficient in advocacy
Must demonstrate the leadership qualities consistent with BMMS Innovative behaviors

Nice To Haves

Case Management certification must be obtained within 2 years of date of hire

Responsibilities

Provides coaching, leadership and acts as a resource to a team of Nurse Case Managers and unlicensed clinical professionals.
Responsible for timely case assignments, quality reviews, and supporting staff members to maximize caseloads with high clinical value.
Responsible for assisting in budget preparation and adhering to budget parameters.
Manages a modified caseload as a working leader.
Leads by example to support a highly functioning synergistic managed care team.
Provides Service Recovery using the BMMS Cultural Values and per BMMS Policy and Procedures as a foundation.
Assists in the development of nursing competencies, manages competencies to ensure proficiency, and assesses each team member annually.
Assume case management responsibilities to assist staff in maintaining timely case management services and to provide vacation coverage.
Interviews and facilitates hiring of new nurse case managers and BMMS team members.
Orients all new hires.
Oversees and ensures proper timekeeping and payroll timecard entries.
Prepares performance evaluations; provide counseling and goal setting.
Establishes and maintains positive working relationships with co-workers, team members, leadership, vendors and the Berkley operating units to further BMMS’ mission and reputation in the managed care community.
Timely reports any trends, changes, or suggested enhancements to senior leadership.
Maintains a professional presence, at all times, and the ability to communicate effectively with all levels of staff and clients.
Culturally competent with a focus on creating a culture of psychological safety.
Completes assigned tasks and projects timely, efficiently, and with accuracy.
Must be flexible and adaptable to an evolving work environment.
Other duties as assigned.