Landmark Health

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Supervisor, Clinical Nurse

Supervisor, Clinical Nurse

Job Locations 
US-CA-South San Francisco
Category 
Clinical Delivery Field
Type 
Regular Full-Time
Posted Date 
3/26/2018
Job ID 
2017-1563

More information about this job

Overview

The Clinical Nurse Supervisor is responsible, as part of the Market Leadership and care teams, for the overall patient Care Management process and oversees Clinical Operations for the entire market. The position reports to the Health Services Director and provides oversight, guidance and support for the processes related to the development, implementation and outcomes of member care plan as developed through clinician, CM and allied clinical support evaluation and physical risk assessment.  The position provides support for the day to day operations including scheduling, outreach, and assignments.  Working with the Health Services Director, their role would be to be the main contact for health plan referrals, inpatient notifications, interdisciplinary team and care coordination.  The position is a system super user and is involved with training and oversight of the new hires and ongoing staff.  The Clinical Nurse Supervisor, as part of the leadership team, facilitates relationships in the community with providers, health plans, vendors, facilities and community organizations.

Responsibilities

  • Comfortable with data
  • Oversees the performance of our Provider-Nurse Case Manager dyads, the critical care delivery unit in each of our markets.
  • Comfortable being telescopic (can grasp big picture strategy and also dive down into the “nitty gritty details”)
  • Provide operational support for the Health Services Director and Market Leadership team
  • Interface/collaborate with contracted health plan contacts on patients referred to Landmark programs.
  • Assist with strategy and process development, and implementation, including measurement of outcomes
  • Verify eligibility for Landmark program referrals, community referrals as well as internal referrals through review of cohort lists and collaboration with health plan contacts
  • Collaborates with outreach team for patient eligibility and scheduling as level of care changes occur. Participates with the assignment of resources to geographic territories/PODS
  • Attend and actively participates in contracted health plan Interdisciplinary Team, and other operational meetings as required
  • Act as super-user and trainer for systems
  • Working with the corporate Operations team, assures documentation is completed by Nurse Care Managers and other IDT members and reported up to HSD
  • Generate and interpret reports to assess impact of key interventions
  • Monitor Daily Pulse Report and other performance and operational reporting to take appropriate action based on the data
  • Assist with and oversee the scheduling process including Urgent Visits
  • Oversee the telephone triage, patient disposition process including on-call schedule
  • Maintain required logs and reports based on market determination and needs
  • Maintain weekly IDT Stat Sheet, minutes, sign in sheets and log book
  • Lead weekly IDT meetings and management of pod specific meetings
  • Actively involved with training of new NCMs and Providers
  • Support and execute corporate initiatives
  • Reconcile provider’s schedules and make appropriate corrections 
  • Collaborate with Office Manager for provider and NCM medical supply needs
  • Oversee the CMA process for scheduling of maintenance visits using the maintenance tracker report
  • Oversee and support staff PTO calendar for their specific pod
  • Oversee and support Provider schedules for meetings, PTO etc.
  • Maintain quality of services through audits and education
  • Participate in and lead CQI teams
  • Identification, tracking, resolving, responding to and reporting any quality of care issues
  • Maintain HIPAA compliance as it relates to member care
  • Participate in interviewing, hiring, training, evaluating and disciplining of IDT staff
  • New workflow creation
  • Other duties as assigned

Qualifications

  • Current RN License, BSN highly recommended
  • 5+ years of clinical practice in a hospital, clinic, home care, or nursing home setting
  • 2-3 years of increasing supervisory or management experience in a health care setting
  • Case management experience required
  • Disease and utilization management experience useful
  • Physician office experience helpful
  • Advanced experience with Excel and/or other reporting tools

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