Partnership HealthPlan of California · 1 month ago
Supervisor of Case Management (RN)
Partnership HealthPlan of California is seeking a Supervisor of Case Management (RN) to provide leadership and support to clinical and non-clinical staff. The role involves overseeing care coordination, ensuring departmental efficiency, and maintaining high-quality care standards.
Health CareInsuranceNon Profit
Responsibilities
Provides daily leadership, direction, resources, training, evaluation and support to department staff in coordinating care and resource utilization
Serves as a role model and clinical resource to colleagues, staff, members and others
Assists department leadership in identifying, monitoring, and evaluating department operations to ensure optimal efficiency and effectiveness
Makes recommendations for process improvements when necessary
Performs Human Resource functions such as time card management, directing work activities, implementing workplace changes, conducting annual reviews, interview process of new hires and conducting staff trainings
Collaborates and works with Team Manager(s) to keep apprised of operational issues, staff and service levels, resources, program and/or department needs
Ensures consistent application and implementation of departmental, organizational, and state/federal policies and procedures
Conducts on-going review and audits of team work to ensure program goals, quality standards, and department metrics are being met
Establishes and maintains professional working relationships with Partnership partners and providers via open and timely communication
Participates in committees, task forces, work groups and/or multidisciplinary teams
Assists in the refinement/improvement of the Health Services programs
Participates in continuous process improvement endeavors
Participates in special projects and assignments as required
Other duties as assigned
Qualification
Required
3-5 years' experience to include staff supervision
one (1) year managed care or case management experience
Strong knowledge of nursing standards in both inpatient and outpatient settings
Demonstrated leadership skills/experience
Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines
Strong organizational skills required
Computer literacy and proficiency
Current California Registered Nurse License
Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business
Certifications in chosen field such as advance practice nursing or case management, or within 2 years of hire, required
Excellent written and verbal communication skills in English
Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals
Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload
Daily use of multi-line telephone and computer for most of the day
Ability to use a computer keyboard
Must be able to lift, move, or carry objects of varying size, weighing up to 10lbs
Preferred
Bachelor's Degree in Nursing or clinically related field preferred
Familiarity with managed care and/or utilization management preferred
Company
Partnership HealthPlan of California
Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.
Funding
Current Stage
Late StageRecent News
The Express Tribune
2024-03-19
The Express Tribune
2024-03-01
2024-02-23
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