RN Case Management Supervisor - Clinical Operations

FMOL Health; Lafayette (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

FMOL Health in Lafayette, LA is seeking a Senior Case Management Operations Lead responsible for day-to-day operations of case managers, social workers, utilization review staff, and case management assistants under the Case Management Director. The role blends clinical and administrative leadership to ensure seamless patient flow and high-quality care across the continuum.

The ideal candidate will have active RN with BSN or MSW, at least two years in healthcare case management, and completed

Qualifications

• Two years of experience in case management in a healthcare setting.

Responsibilities

• Assist the director of the department with support of clinical and administrative case management and social service roles through participation, problem solving and scheduling of staff in order to facilitate appropriate patient flow and services.
• Plans and updates in-service education programs for all case management staff annually.
• Conducts case review and high-risk screening evaluations weekly with staff.
• Performs weekly quality reviews and communicates findings to both staff and management team.
• Assist director in selection of team members.
• Provides for departmental orientation, onboarding, and initial competency checks for all new team members.
• Provides case management services to assigned population in addition to coordinating staff assignments in order to assure appropriate levels of service.
• Assures adequate case management coverage to meet customer expectations.
• Performs routine case management duties including planning, assessment, resource allocation and outcome tracking.
• Plans for staffing variances as evidenced by adequate coverage for all areas.
• Provides up to date clinical expertise to case management staff including new interventions and therapies, changes in clinical protocols and updates in clinical case management services in order to meet the needs of all assigned patient populations.
• Monthly education provided to staff regarding emerging trends in healthcare services.
• Secures specific case management educational materials and distributes on a weekly basis to staff.
• Conduct annual mandatory training to all staff including fire, infectious disease, disaster preparedness.
• Reports specific outcome measures including productivity, referral patterns, cost savings, utilization in order to trend and provide appropriate analysis of service delivery.
• Provides scheduled reports on specific criteria-based measures to Director.
• Provides analysis of data related to outcomes.
• Makes changes to service and service delivery based on outcome data analysis to improve service levels.
• OTHER DUTIES AS ASSIGNED
• Consistently performs 12 organizational Service Standards focused on Values, Service and Quality.

Skills

Interpersonal skills

Oral & written comms

Problem solving

Critical thinking

Time management

Hospital software

Education

RN with BSN or MSW

Job description

FMOL Health in Lafayette, LA is seeking a Senior Case Management Operations Lead responsible for day-to-day operations of case managers, social workers, utilization review staff, and case management assistants under the Case Management Director. The role blends clinical and administrative leadership to ensure seamless patient flow and high-quality care across the continuum.

The ideal candidate will have active RN with BSN or MSW, at least two years in healthcare case management, and completed