RN Case Manager Team Lead - Personalized Health Partners

Personalized Health Partners is currently recruiting an RN Case Manager Team Lead.

The RN Case Manager Team Lead has a passion for overseeing the delivery of RN case management services to seniors and other residents in a variety of healthcare settings that can include, but are not limited to, skilled nursing facilities, assisted living, and independent living communities, as well as via telehealth.

JOB SUMMARY

The Personalized Health Partners (PHP) RN Case Manager Team Lead is responsible for overseeing the delivery of RN case management services, clinical and administrative support, and support to nurse practitioners. The PHP RN Case Manager Team Lead will manage staff and resources, including hiring, training, performance management, and evaluation.

PRIMARY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS

• Oversight of RN case management services, clinical and administrative support and support to nurse practitioners
• Identify opportunities and resources to improve clinical and quality outcomes
• Anticipate education opportunities for RN case management team
• Document in accordance to program expectations and compliance standards
• Consistent delivery on obligations and promises is required.
• Abides to all HIPPA laws and observes confidentiality policy at all times and abides to all policies and procedures. 
• Utilize data resources to identify closure of quality and documentation gaps
• Develop relationships with key stakeholders within Medical Practice, Nursing Facilities, Corporate Leadership, and health plan partners
• Adhere to all quality assurance initiatives and provisions.
• Coordinate and/or attend regular conference calls with appropriate teams as practice deems necessary
• Perform all other job duties as assigned.

EDUCATION and QUALIFICATION

Required:

• Bachelor of Science in Nursing degree
• Active, unrestricted state license/s
• Ability to obtain licensure in additional states in service area as requested (telehealth providers required to be licensed in OH, IN, WV, MD, VA, PA)
• US work authorization
• 2+ years clinical experience as a Nurse in geriatric, adult or family practice setting
• Ability to work in a flexible environment and schedule
• Passionate about providing healthcare to the senior and low-income populations

Preferred Qualifications:

• 1+ years clinical management experience as a Nurse in geriatric, adult or family practice setting

• Training or clinical experience in geriatrics
• 1+ years clinical experience as a RN Case Manager
• Experience or training working in a metrics, results driven healthcare model
• Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
• Experience working in value-based care models
• Training or experience in geriatric, assisted living, and/or skilled nursing setting
• Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
• Training or experience in outpatient primary care setting

JOB SKILLS

• Must have strong oral and written communication skills
• Must be detail oriented with an ability to work well both independently and in a team setting
• Exhibit a customer service approach with teams and residents
• Strong time management skills required.  Must be able to prioritize and adhere to competing deadlines while achieving goals