Clinical Programs Supervisor

13 hours ago


Orange, California, United States Prospect Medical Holdings Full time
Job Title: Clinical Programs Supervisor

As a Clinical Programs Supervisor at Prospect Medical Holdings, you will play a crucial role in planning, organizing, and directing inpatient Case Management services. This position involves supervising RN/LVN Case Managers and support staff responsible for providing quality care to our members in acute care or skilled nursing facilities.

Key Responsibilities:
  • Supervise staff members by appraising, monitoring, and observing performance to ensure compliance with company and department policies and procedures.
  • Ensure continuity of quality patient care by planning daily staff assignments through evaluation of census, patient acuity, and staff competency.
  • Mentor and motivate staff members to excel in their day-to-day performance through educational trainings and recognition programs.
  • Assist in meeting financial targets by effectively managing utilization, productivity, and discharge planning.
  • Analyze compliance through daily checks of case error reports, denial processes, and weekly random chart/case documentation audits.
  • Perform Human Resources processes for direct report employees, including hiring, interviewing, time and attendance, performance evaluations, and disciplinary actions.
  • Provide coverage as a team resource during staff shortages by assuming a case load.
  • Assist in developing, implementing, and evaluating department goals, objectives, policies, procedures, and standards of care.
Qualifications:
  • Graduate of an approved nursing program required; Bachelor's degree in Nursing preferred.
  • Two to three years of inpatient case management experience in IPA/HMO or acute care required; one year of supervisor/lead/charge nurse experience required.
  • Current State of California Registered Nurse license or LVN-Current state of California Licensed Vocational Nurse required; ACM/CCM - Accredited Case Management Certification or Certified Case Manager certification preferred.


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