Telephonic Case Manager Supervisor- RN

1 week ago

Mechanicsburg, United States Absolute Staffing & Consulting Solutions Full time
Job DescriptionJob Description


A Telephonic Nurse Case Manager Supervisor is responsible for overseeing a team of telephonic nurse case managers within a healthcare or insurance organization. The role involves managing and coordinating the activities of nurse case managers who work remotely or over the phone. Here are some key responsibilities and duties associated with this role:

  1. Supervision and Leadership:

    • Provide leadership and guidance to a team of telephonic nurse case managers.
    • Set performance expectations, conduct regular performance reviews, and offer coaching and mentoring.

  2. Team Coordination:

    • Coordinate the workload and assignments for the telephonic nurse case management team.
    • Ensure proper distribution of cases based on the team members' skills and workload capacity.

  3. Quality Assurance:

    • Monitor and assess the quality of telephonic nurse case management services provided by the team.
    • Implement and enforce quality assurance standards and protocols.

  4. Training and Development:

    • Develop and deliver training programs for telephonic nurse case managers to enhance their skills and keep them updated on industry best practices.
    • Provide ongoing education and support for professional development.

  5. Collaboration:

    • Collaborate with other healthcare professionals, including physicians, therapists, and social workers, to ensure comprehensive and coordinated care for patients.
    • Work closely with other supervisors and managers within the organization to achieve organizational goals.

  6. Performance Metrics:

    • Track and analyze performance metrics, such as case management outcomes, adherence to guidelines, and customer satisfaction.
    • Implement strategies for continuous improvement based on performance data.

  7. Compliance:

    • Ensure that telephonic nurse case managers adhere to relevant laws, regulations, and industry standards.
    • Stay informed about changes in healthcare policies and regulations that may impact case management practices.

  8. Client Communication:

    • Communicate with clients, insurance companies, healthcare providers, and other stakeholders to address their needs and concerns.
    • Foster positive relationships with clients and work towards client satisfaction.

  9. Workflow Optimization:

    • Identify opportunities to optimize workflows and streamline processes within the telephonic nurse case management team.

  10. Problem Resolution:

    • Address any issues or challenges faced by the telephonic nurse case managers and work towards effective problem resolution.

Overall, the Telephonic Nurse Case Manager Supervisor plays a crucial role in ensuring the efficient and effective delivery of telephonic nurse case management services while maintaining high-quality standards and compliance with regulations.

    • A degree from an accredited nursing school.

    • CCM, CDMS or other appropriate credential a plus.

    • Current, unrestricted Pennsylvania RN license.

    • One or more years of clinical nurse experience. Individuals with insurance, workers'

      compensation case management, orthopedic, emergency room, critical care, etc., are

      preferred.

    • Strong written and verbal communication skills while working in an electronic medium

(e.g., basic computer skills), are preferred. • Fluent Spanish or other language skills a plus.

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