RN SUPERVISOR, CASE MANAGEMENT COORDINATION (DOWNEY)
Description : Job Summary : Will primarily supervise the delivery of services and member care within one department of the Case Coordination Center;
includes supervising a team of nursing and other technical personnel as well as clerical staff. Is responsible for assisting the manager in planning, development, implementation, delivery, evaluation and improvement of member and customer service that continues to add value and integrates appropriate standards of practice, service priorities and performance / outcome measures, and is consistent with strategic, business and organizational goals.
Reviews and evaluates the work of the staff and prepares periodic performance reports. Establishes and / or ensures compliance with standards, policies and procedures and ensures that all personnel are trained on same.
Essential Responsibilities : Supervises staff including directing, motivating, guiding, providing resources, investigation and initiating corrective action as needed, to ensure harmony, team spirit and quality delivery of services.
Supervises day-to-day activities, coordinates departmental services and monitors appropriate outcomes.Supervises operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement.
Monitors the quality of service and utilization standards, assuming specific responsibility at the department level.Acts as a liaison between the department and its customers (medical centers, outside facilities, members) to promptly resolve issues and to control unnecessary costs.
Oversees, educates and directs staff in all aspects of the departments function to provide quality, member-focused services that meet clinical standards and regulatory guidelines.
Works in collaboration with the physician advisor to ensure smooth departmental functioning and adherence to clinical and quality standards.
Works in collaboration with Kaiser facility directors, administrators and physician advisors regarding appropriate utilization of resources and coordination of services to maintain high quality and efficiency.
Works in collaboration with the CCC QA director to identify, trend, and provide feedback regarding quality issues.Works in collaboration with other CCC department managers and supervisors to share successful practices and provide additional cross over supervisory responsibilities as needed.
Analyzes statistical reports to identify the effectiveness of the departments program, analyzes trends, monitors the utilization of resources and acts on the information appropriately.
Ensures that all program activities are in compliance with the KP benefits and with the various regulatory agencies having influence over management of medical care and reimbursement and with government legislative directives.
Basic Qualifications : Experience Minimum three (3) years of management / supervisory / charge nurse experience. Minimum five (5) years of clinical nursing experience relevant to given position / department (e.
g., critical care / emergency room) required.Education Bachelors degree in nursing or related field.License, Certification, Registration Registered Nurse License (California) Additional Requirements : Autonomous individual with little need for direct supervision.
Understanding of the HMO environment and knowledge of the integrated delivery model of care. Knowledge of health care trends, provider types and reimbursement issues.
Thorough knowledge of CMS requirements, Title XXII regulations and other regulatory agency requirements relevant to given department.
Excellent verbal and written communication skills including team building and collaboration abilities. Excellent problem solving skills and ability to manage diverse interests with minimal supervision.
Must be able to work in a Labor / Management Partnership environment. Notes : Hybrid remote schedule. Primary Location : California,Downey,Downey Boeing - Independence Park Scheduled Weekly Hours : 40 Shift : Evening Workdays : Sun, Mon, Tue, Wed, Thu, Fri, Sat Working Hours Start : 01 : 00 PM Working Hours End : 09 : 00 PM Job Schedule : Full-time Job Type : Standard Employee Status : Regular Employee Group / Union Affiliation : NUE-SCAL-01NUENon Union Employee Job Level : Team Leader / Supervisor Department : Independence Park - Centralized O / S Utility Mgmt - 0806 Pay Range : $136200 - $176220 / year The ranges posted above reflect the location in the job posting.
The salary range may vary if you reside in a different location or state than the location posted. Travel : Yes, 5 % of the Time At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do.
We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work.
Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
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