Supervisor of Case Management (RN)

Curana Health; Detroit (MI); Remote; USD 75,000 - 90,000; Full time

Job summary

Curana Health seeks a Supervisor of Case Management to oversee daily operations of the Case Management team, ensuring quality care for seniors. This role involves coaching staff, ensuring compliance with care standards, and leveraging data for decision-making in a remote capacity requiring local travel.

Qualifications

• Leadership experience in Health Care Plan Programs.
• Strategic thinking and process improvement skills.
• Data-driven decision-making experience.

Responsibilities

• Manages and evaluates Care Ally performance and development.
• Implements standardized protocols for case management.
• Monitors continuity of care post-discharge.

Skills

Data analysis

Communication

Motivational capabilities

Education

Registered Nurse (BSN preferred)

Job description

Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents.

Summary

The Supervisor of Case Management is responsible for the daily management and clinical oversight of the Case Management team. The Care Ally, Case Managers assist Plan Members to achieve a quality of life and optimal clinical outcomes through coordination of care, including ensuring a safe transition from an inpatient setting to home or a lower level of care.

This leader possesses data analysis skills, excellent communication skills, proven motivational capabilities, and a demonstrated track record of leading and motivating talent to deliver and attain goals. This is a remote position with some travel to local or out of state Senior Housing Communities. The Supervisor of Case Management will report to the Director of Case Management.

Essential Duties & Responsibilities

• Implements and monitors standardized protocols to facilitate integrated proactive case management that aligns with the model of care and meets regulatory requirements.

• Manages, coaches, and evaluates Care Ally performance and provides employee development and recognition.

• Assists with orientation and mentoring of new staff.

• Partners with the Director of Case Management to ensure adequate staffing and maintains customer satisfaction by implementing and monitoring staff productivity and performance indicators.

• Audits case management assessments and care plan development for completeness and timeliness according to accreditation standards and state requirements.

• Monitors post-discharge visits to assure continuity of care and prevent unnecessary readmissions.

• Participates in Plan clinical round.

• Collaborates with the Director of Case Management on operational issues, staffing, and program needs and presents a solution action plan for issues.

• Implements and monitors new care management programs relative to applicable lines of business and any product/benefit change

• Works as a liaison with external organizations to assure lines of communication are in place for member engagement and communicates directly with families, physicians, and community providers as needed.

• Other tasks as assigned

Qualifications

• Registered Nurse (BSN preferred)

• Experience as a leader with Health Care Plan Programs or Companies

• Demonstrated strategic thinking, process improvement, innovative thinking and team management expertise

• Demonstrated experience in the usage of data to guide decision making

Preferred Qualifications

• CCM certification

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).