Registered nurse supervisor-case management

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-Exempt.

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 tasks 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.

• The Complex Care Case Management RN, Supervisor oversees the care of the patient with complex healthcare needs as they move through 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.
• Monitors staff performance, including performing case reviews and structured observations.
• Holds 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 caregiving disciplines with the patient/family to develop and implement care plans for the patient. Monitors the clinical outcomes to avoid complications and unanticipated variances.

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

Active unrestricted AZ Registered Nurse license. Bachelor of Science in Nursing (BSN) degree from an accredited college or university preferred. 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) is preferred, or the ability to obtain certification within six to nine months of hire. 1 year of leadership experience preferred.

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”. New hires must present valid Basic Life Support certification (Healthcare Provider BLS for clinicians) prior to the first day of patient care. Ensures all patient information is kept confidential and complies with Health Insurance Portability and Accountability Act (HIPAA) regulations and SRPMIC HHS policies and procedures. 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.