Rn Supervisor (chronic Care Case Management)

Definition

**IF YOU PREVIOUSLY APPLIED FOR THIS POSITION, YOU DO NOT NEED TO RE-SUBMIT YOUR APPLICATION**

Position Summary : Under general supervision of the Senior Nurse Manager Case Management (SNMCM) the Complex Care Case Management RN, Supervisor (CCCMRNS) will oversee the Complex Care Case Management RN team. This position is treated as FLSA

Distinguishing Features: River People Health Center is seeking a dedicated Registered Nurse (RN) to join our team as a Complex Care Case Management RN, Supervisor (CCCMRNS) The CCCMRNS will play a crucial role in coordinating and managing complex patient care, ensuring seamless transitions between healthcare settings, and advocating for the needs of our patients and providing patient education and disease management. This position requires strong clinical skills, effective communication, and a passion for improving patient outcomes.

Essential Functions : This list of task is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification. Duties and responsibilities may be subject to change based on organizational needs and priorities.

Examples of Tasks

The Complex Care Case Management RN, Supervisor oversees the care of the patient with complex healthcare needs as they move thought the health care continuum with multi-morbid conditions.

Supervises staff in day-to-day functions, including training and developing the case management and care coordination staff to accomplish program goals and objectives.

Assists in the development, maintenance, and implementation of metrics to appraise the productivity and quality of staff performance.

Supervises the management and care coordination of identified high-risk patients to reduce recurrent and unnecessary hospital admissions, readmissions, and emergency room visits.

Supervises the management and care coordination, patient navigation with the clinic and outside providers.

Works in close collaboration with Multi Care Team and contracted physician groups who conduct assessments to establish members' care needs.

Supervises the process to promote disease management, education, training, and other clinically based activities to coordinate care among providers, patients and the community

Patient education and health literacy

Monitor staff performance, including performing case reviews and structured observations.

Hold weekly supervision meetings with case management teams.

Multidisciplinary Care Coordination: Follows established policies, procedures and standing orders to coordinate care for high-risk patients that are at risk for poor health outcomes, frequent emergency room visits and hospital readmissions.

Oversees communication and collaboration with the Case Manager RN, physicians, social workers, care team members and other care giving disciplines with the patient/family to develop and implement care plans for the patient.

Monitors the clinical outcomes to avoid complications and unanticipated variances.

Respect confidentiality of all patients and follow organizational, state and federal policies in accordance with HIPAA.

Acts as a resource to Chronic Care Case Manger RN to contact with the patients with a focus on behavioral goal setting and patient-centered support planning. Identifies patient resource needs, provides information on possible resources and referrals to patients.

Supports the Chronic Case Manager RN with network participation, care with specialty networks, care with medical providers, and transfers to alternate levels of care using knowledge of benefit plan design

Assists the Chronic Care Case Manager RN to recommend services for patients using care alternatives available in the community. Identifies potentially unnecessary services and care-delivery settings and recommends alternatives by analyzing clinical protocols

Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, training and conferences, etc.

Miscellaneous: Performs other job related duties as assigned to maintain and enhance departmental operations.

Knowledge, Skills, Abilities and other Characteristics:

• Knowledge of the history, culture, laws, rules, customs and traditions of the SRPMIC.
• Knowledge of the purpose, current issues, projects, organization, policies, and employee responsibilities of the division to which assigned.
• Knowledge of theory, principles and scope of practice for a Registered Nurse.
• Knowledge of federal, state, and agency laws and regulations governing professional nursing.
• Knowledge of health systems and disease processes.
• Knowledge of medical, public health and social service resources available to Native Americans including, but not limited to, Indian Health Service, Medicare, Medicaid, ALTCS, SSI, etc.
• Strong verbal and written communication skills as well as patient interviewing skills.
• Experience with electronic health records and community resources.
• Focused customer service skills and excellent problem-solving skills.
• Ability to use critical thinking and to problem solve in a professional manner.
• Strong clinical assessment and critical thinking skills to develop effective disease management plans.
• Excellent communication skills to effectively educate, counsel, and advocate for patients and their families.
• Empathy and compassion to provide emotional support and address the psychosocial needs of patients.
• Ability to work in a multidisciplinary team and collaborate effectively with healthcare professionals.
• Strong presentation skills and ability to represent the agency at functions and meetings
• Proficiency in using electronic health record systems and other healthcare software for accurate documentation and information retrieval.
• Strong organizational and time management skills to prioritize tasks and manage a caseload of patients effectively.
• Knowledge of evidence-based guidelines and best practices in advancements in care transitions.
• Familiarity with all age groups from newborns to older adults that have recently been discharged from a higher level of care to include hospitals and/or skilled nursing facilities.
• Monitors timely and complete medical record documentation and billing of all chronic care management services.
• Skill applying and interpreting federal, state, and agency laws and regulations governing practical nursing.
• Ability to establish and maintain positive working relationships with colleagues, subordinates, supervisors, health care professionals, Tribal officials, and representatives of resource agencies.
• Ability to incorporate cultural differences, health beliefs and learning styles.
• Ability to maintain confidentiality.
• Ability to operate a variety of standard office equipment including cellular phones, photocopiers, FAX machines, calculators and personal computers including MS Office

Minimum Qualifications

• Education and Experience: Active Arizona Registered Nurse license from an accredited college or university and certification as a Registered Nurse (RN) required.

• Arizona Registered Nurse license required.
• Minimum 3 years' work experience as a Registered Nurse
• One year of clinical nursing experience in an outpatient primary care setting and/or as an inpatient case manager RN.
• Minimum one year of RN case management experience in a primary care setting.
• Continuing education and professional development in advancing chronic complex care.
• Experience working with Native American Communities preferred.
• CCM Certification (Certified Case Manager) preferred, or the ability to obtain certification within six to nine months of hire.
• 1 year of leadership experience preferred.

• Equivalency: Any equivalent combination of education and/or experience that would allow the candidate to satisfactorily perform the duties of this position, will be considered.

• Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill.

Special Requirements

• Employment is contingent upon successful completion of an extensive background check and drug screening. Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children".

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check.

"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified : Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.

In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).

Documents may be submitted by one of the following methods:

1) attach to application

2) fax (480) 362-5860

3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date.

Benefits:

The SRPMIC offers a comprehensive benefit package including medical, dental, vision, life, disability insurance, and a 401(k) retirement plan. In addition employees enjoy vacation and sick leave and 13 paid holidays.