RN Nurse Case Manager: Lead Care Teams & Improve Care

Your Health Organization; Columbia (SC); On-site; USD 60,000 - 90,000; Full time

Job summary

Your Health in Columbia, SC is seeking a Nurse Case Manager to lead and coordinate care teams across the region, ensuring compliant, high-quality patient care and cost-effective services. You will supervise nurses, social workers, therapists, and health coaches, and work closely with regional leadership.

Responsibilities include driving patient engagement, optimizing scheduling and productivity, supporting care model education, and coordinating with physicians and care partners to deliver right

Qualifications

• Experience leading healthcare care teams and coordinating multi-disciplinary staff.
• Understanding of healthcare regulations and compliance.
• Excellent communication and leadership skills.

Responsibilities

• Team Leadership: Lead and manage a care team consisting of healthcare professionals, including but not limited to nurses, social workers, therapists, and health coaches.
• Patient Care: Actively engage with patients to help them understand the Company's care model, their diseases, and disease management strategies.
• Productivity Management: Monitor and enhance the productivity of your care team to ensure that all necessary assessments and patient visits are conducted efficiently.
• Billing Optimization: Collaborate with your team to optimize primary care billing, aiming for it to constitute 15% of the total allotment for your group of patients. This optimization should contribute to a reduction in unnecessary medical spending.
• Service Recovery: Collaboration for conflict, complaint management and resolution for any concerns.
• Consistent program review with leadership to ensure right care at right time delivery of services & support to patients, families, facilities, and other healthcare partners.
• Scheduling Management and Oversight: Responsible for managing and overseeing the scheduling process completed by case managers to ensure providers and other disciplines have a well-structured and effective schedule.
• Promote effective two-way communication between employees supervised, administration and team members within the region.
• Training and Supervision: Provide training and guidance to staff, ensuring they understand their job responsibilities, goals, protocols, customer service standards, and proper use of company's software systems.
• Participate in interviews and hiring staff when necessary.
• Administrative Functions: Perform general administrative tasks and support other staff as needed.
• Leverage technology platforms to enhance patient care and staff productivity.
• Participate in coaching calls.
• Perform other duties as requested or required, in the sole discretion of the Company.

Job description

Your Health in Columbia, SC is seeking a Nurse Case Manager to lead and coordinate care teams across the region, ensuring compliant, high-quality patient care and cost-effective services. You will supervise nurses, social workers, therapists, and health coaches, and work closely with regional leadership.

Responsibilities include driving patient engagement, optimizing scheduling and productivity, supporting care model education, and coordinating with physicians and care partners to deliver right