Clinical Quality Nurse Manager

LaunchTN; Tennessee; On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401k Retirement Plan

Paid Time Off

Wellness benefits

Job summary

LaunchTN in Tennessee seeks a Clinical Quality Nurse Manager to lead quality across neurological care pathways. You will coordinate care, monitor metrics, and serve as patient advocate to reduce hospitalizations and improve outcomes.

You will maintain an active TN RN license, travel as needed, and collaborate with care managers and physicians to educate patients and families. Proficiency with EMR and MS Office is required.

Qualifications

• Graduated from an accredited Registered Nurse program.
• Tennessee RN licensure or compact state license.
• AHA BLS for HealthCare Providers required on hire.
• Two years of clinical quality or case management experience preferred.
• Ability to travel to patient sites as needed.
• Neurological care experience is highly valued.

Responsibilities

• Coordinate care and advocate for patients across neurology-related diagnoses.
• Monitor quality measures and address gaps in care to improve outcomes.
• Respond to clinical escalations and develop comprehensive care plans.
• Educate patients and families to support self-management.
• Ensure timely documentation in the EMR and participate in team huddles.

Skills

RN licensure

Travel willingness

Communication skills

Care coordination

EMR documentation

MS Office proficiency

Education

BSN or nursing degree

Nursing degree

Tools

Electronic Health Record (EMR)

Microsoft Office Suite

Job description

Clinical Quality Nurse ManagerHours: SalariedReports to: Clinical Operations

ABOUT USUtilize Health is a care management company whose mission is to improve the health and well-being of people with neurological conditions. Our specialized care management program offers a better way to manage brain injury, stroke, and spinal cord injury diagnoses allowing for better continuity of care and reduction of avoidable high-cost services. Utilize Health’s Care Managers and Nurses support members as an advocate through their healthcare journey, assisting them with physical, behavioral, functional, preventative and social determinants of health needs.JOB OVERVIEWThe Clinical Quality Nurse Manager is responsible for ensuring quality throughout the Utilize Health patient journey. The Clinical Quality Nurse Manager collaborates with care managers to ensure optimal quality patient care coordination activities. Responsible for monitoring and intervening to meet patient care measures including gaps in care, hospitalizations, and other clinical indicators aimed at improving health. Responds to clinical escalations from the care management team, creates and reviews comprehensive care plans, and overcomes barriers to care. Assists patients with navigating the healthcare system, providing patient and family education that supports self-management and reduces complications & sequelae, and interventions that address social determinates of health. Acts as a patient advocate in supporting factors that impact customer satisfaction and overall health outcomes.JOB RESPONSIBILITIES- Member of the Utilize Health multidisciplinary care coordination team, serving as an advocate and educator.- Provide care coordination, health promotion, care planning and transitional care activities.- Improve outcomes by reducing hospital and emergency room admission, closing gaps in care, and actively coordinating care of individuals with a diagnosis of stroke, spinal cord injury or brain injury.- Accurately track quality measures and intervene when there is an opportunity to improve.- Coordinate care and manage quality measures ensuring Utilize Health program goals are met.- Perform care coordination activities to include continual assessments of patients’ physical and behavioral health needs, interventions, patient education and development of an individualized care plan with measurable goals that ensure needs are met.- Ensure patient’s daily medical, behavioral, and environmental needs are planned for and coordinated.- Demonstrate knowledge of community and care resources.- Participate in identification & enrollment of appropriate patients.- Participate in care team huddles, clinical case reviews, triages and warm handoffs.- Support patient access to care by serving as a liaison between the patient and care providers such as PCPs and specialists.- Assist in the development and dissemination of patient education including patient action plans.- Assist in transitions of care from hospital, acute rehab, or other inpatient care settings to home.- Ensure timely and appropriate documentation in the Electronic Health Record.OTHER RESPONSIBILITIES- Must maintain an active Tennessee Registered Nurse License.- Attend all in-services, continuing education and annual health requirements.- Comply with all OSHA and safety policies, practices, and procedures. Report all unsafe practices or accidents to supervisor.- Comply with HIPAA regulations regarding the privacy and security of patient PHI.- Perform other duties as assigned.BENEFITS- Medical, Dental, and Vision Insurance; Health Savings Account (HSA); Basic Life and AD&D Insurance; Short- & Long-Term Disability Coverage; Supplemental Life, Cancer, Accident, and Critical Illness Insurance; 401k Retirement Plan; Paid Time Off; Calm App subscription; Gym membership discounts.QUALIFYING JOB KNOWLEDGE, SKILLS AND ABILITIES- Graduated from an accredited Registered Nurse Program.- Compact or State of Tennessee Active Registered Nurse Licensure.- American Heart Association BLS certification for HealthCare Providers required upon hire.- Two years of experience in clinical quality preferred. Case management or home health experience preferred.- Ability to travel.- Neurological care experience.- Passion for working with the neurological population.- Demonstrated ability to provide care coordination.- Proficient in documenting care coordination activities in an electronic medical record.- Excellent oral and written communication skills.- Proficient in Microsoft Office Suite.