Supervisor, Clinical Registered Nurse

The Clinical Operations Supervisor, RN will be responsible for evaluating and supervising overall activities for health maintenance and promotion programs. The Clinical Operations Supervisor, RN will provide daily leadership and be accountable for clinical programs for product lines and members served to ensure contractual compliance and achievement of clinical, quality, and utilization management goals. The Clinical Supervisor, RN will be responsible for developing the capabilities and refining the processes and workflows required to effectively grow and manage the Clinical Operations team and facilitate the successful implementation of clinical programs, vendor relationships, and technology enabled health programs. The Clinical Operations Supervisor, RN will work closely with the Market Operations team and report to the Director of Nursing and Clinical Operations. This role oversees a team that includes Nurse Care Managers and will work closely with Social Workers, Care Coordinators, and Transition of Care Coordinators. This position will partner with physician leaders to ensure the overall success of the market and team operations.

This position is remote, but you must be located within or nearby our Kalamazoo market to ensure availability to meet with team members in person as necessary, as well as to visit market-based physician offices and health care facilities as needed.

• Provide direct and indirect oversight of inter-disciplinary care teams: Nurse Care Managers (direct), Social Workers, Care Coordinators, Transition of Care Coordinators, etc.
• Monitor clinical and business dashboards/metrics that drive patient outcomes and performance metrics as it relates to their team's performance.
• Understand HEDIS measures and standards. Assist in the development of a plan to close gaps, as needed.
• Manage Complaints and Grievances, ensuring required response timeframes are met. Direct service recovery to promote optimal patient & partner satisfaction.
• Oversee processes to manage internal and external referrals for healthcare service (e.g., behavioral health (BH) referral, home health) and specialists (e.g., cardiology, pulmonology).
• Promote cohesive and effective team dynamics to ensure success leveraging multiple key performance indicators.
• Manage direct admit to skilled nursing facility (SNF) process with your team by ensuring appropriate criteria and medical documentation is submitted to accepting agency. Work in collaboration with medical team, offices, medical records.
• Participate in the interview process & collaborate with recruiters on team member hiring.
• Team member oversite: Complete performance reviews, identify individual goals, mentor and support team members for professional growth and learning opportunities.
• Collaborate to develop innovative solutions and programs to overcome healthcare barriers
• Work closely with market leaders to facilitate team member education and onboarding to ensure. education and training is completed. Identify team member needs: knowledge, skills, and abilities.
• Perform other related responsibilities as assigned.

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. That makes you a match for our innovative culture.

• Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
• Degree from an accredited nursing program with a minimum of an Associate or Diploma in Nursing required; Bachelor's of Science in Nursing preferred
• Active, unrestricted Registered Nurse license is required
• 2+ years of continuous hospital clinical experience within the past 10 years required
• 2+ years of continuous ambulatory clinical experience within the past 5 years required, preferably in care management or practice management
• Experience using data to drive strategy and execution
• Ability to execute clinical programs with clear demonstration of results
• Skilled using the Microsoft Office suite of products (e.g., Outlook, Teams, Excel, and Power Point
• Experience in interdisciplinary team management, including the ability to facilitate interdisciplinary team member discussions
• Experience in home health care, health plans, or hospice preferred
• Expertise in Performance Improvement preferred
• You are able to arrange travel to various work sites as needed, as well as possess and maintain a valid driver's license in your state of residence and motor vehicle insurance

The base pay range for this role is $94,300 - $108,400. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.