Supervisor of Care Management

300

Remote?: 0

Highlights (Bonus, shift, relocation, info for job):

Regional Position: Locations to cover Baltimore, MD and Greenbelt, MD

• Commuting required between both locations to support staff needs

Monday through Friday, 8-5 with hour lunch, no weekends, no on-call, with paid holiday time off and paid CEU.

Job Summary:

The Supervisor of Care Management (SCM) is a key leader of the integrated care team. The role provides clinical and performance oversight of a nurse care management team that is comprised of licensed registered nurses. This role understands the complexities of co-occurring conditions and social determinants of health (SDoH), how they impact the overall health and wellbeing of our members.  The SCM works closely with the Manager of Care Management to identify and implement integrated processes to improve outcomes. 

The SCM is responsible for oversight of daily operations of the care management team including ensuring compliance with internal and NCQA timeliness and care plan/documentation standards, case file/performance reviews (e.g., case file audits, ride alongs, 1:1 coaching), participation in ICT meetings. The SCM leads team meetings and maintains team morale through virtual and in-person activities. In collaboration with the Manager of Care Management, the SCM is responsible for interviewing, hiring, and ensuring onboarding/training needs are met for new hires. Success is measured based on key performance indicators that include reducing potentially preventable events (e.g., ER visits, hospital admissions (medical and readmissions), increasing medication adherence, stabilizing chronic conditions and improving self-management, overcoming barriers to care and SDoH needs including housing, food and financial instabilities, increasing member engagement with community resources, and member retention.

Duties and Responsibilities:

• Lead a nurse care management team comprised of licensed registered nurses.
• Closely collaborate with behavioral health counterparts to deliver integrated care under a collaborative care model through interdisciplinary care team meetings, case consultations, etc.
• Use daily operational reports to monitor team performance and proactively identify low performing staff and/or processes requiring improvements
• Proactively identify low performing staff and implement coaching and/or performance improvement plans to meet performance/quality standards
• Oversee clinical staff development and performance that results in person-centered care planning, SMART goals, clear and consistent documentation, use of evidence-based disease management and chronic care protocols in combination with therapeutic approaches to care including motivational interviewing, trauma informed care, and harm-reduction strategies.

Education & Experience:

• Clinically licensed in the state of practice with 3+ years of supervisory experience in care management related field including insurance case management, hospital case management or ambulatory care management:
• Licenses may include RN, CNS, APN
• Certifications ACM, CCM, RN-BC, CCCTM will be given preference
• Qualified clinical supervisors will be given preference
• 2+ years of experience in a community mental health center, managed care organization, FQHC, inpatient psychiatric facility or other setting that serves clientele with complex behavioral health needs
• Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries
• Experience with member engagement, transitions of care, clinical care, and/or case management
• Active unencumbered driver’s license, with automobile insurance, reliable transportation and ability to work in office and in the community.

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer. 

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works. 

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT².

AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

EEO Employer Verbiage: AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.