Nurse Case Management Supervisor

The Nurse Case Management Supervisor is responsible for managing the day-to-day operations and providing leadership to the Nurse Case Managers (NCM) in the Claim Department, ensuring the staff meets or exceeds the company's service quality standards. This role collaborates with other team members and departments to ensure appropriate levels of care to meet company, broker, policyholder, and patient goals. The position requires flexibility, ongoing supervision, support, and evaluation of the NCM staff, and may also fulfill the duties of a NCM as needed.

Responsibilities

• Provide a workers’ compensation experience that ensures peace of mind for all by listening with empathy, acting with compassion, doing the right thing, and succeeding through collaboration.
• Maintain an engaging work environment by acting and communicating in a manner that cultivates positivity and builds relationships with brokers, policyholders, customers, vendors, co-workers, and management.
• Lead the day-to-day activities of the Nurse Case Management staff, including the assignment of incoming case work and ensuring the quality of the staff’s work.
• Participate in the assessment, evaluation, and planning of patient care.
• Conduct regular case reviews, ensuring that all appropriate record-keeping is performed on a timely basis and that all governing agency regulations are met.
• Regularly review case handling to ensure department expectations are being met regarding contact with injured workers, policyholders, and medical providers, with a focus on coordinating medical treatment and return to work.
• Work collaboratively with and act as a resource for Nurse Case Managers and/or Claim staff for questions or issues related to diagnosis, treatment, pharmacology, rehabilitation, and clinical selection cases.
• Assist with the identification and development of occupational injury treatment and rehabilitation plans for injured employees.
• Provide direction, manage, coach, and develop assigned staff.
• Provide timely performance reviews based on company service standards.
• Define and communicate department and organizational expectations.
• Train and provide frequent direction to new staff members.
• Assist HR with the recruitment, hiring, and onboarding of new staff members.
• Keep current with related trends in the case management industry and ensure the NCM team maintains licenses by completing continuing education requirements.
• Adhere to and keep current with all company compliance and security policies and procedures.
• Work with other departments to meet company standards.

Requirements

• BSN degree or Bachelor’s degree and comparable work experience.
• Certified Case Manager credentials with 3-5 years of active clinical experience within the Workers Compensation case management setting.
• Current nursing licensure in MA and/or other New England states desirable.
• Familiarity with workers’ compensation insurance and claim handling mandatory.
• Experience in the management and/or supervision of others, preferably in the nursing field.
• Good verbal and written communication skills.
• Proficient in Microsoft Word, Excel, and PowerPoint.
• Able to work independently to organize and prioritize work.

Supervisory Responsibility

The Nurse Case Management Supervisor oversees the employees of the NCM team, is responsible for the performance management of the employees within the team, and participates in the hiring process when necessary.

Work Environment

This job typically operates in a professional office environment with occasional exposure to light noise.

Physical Demands

While performing the duties of this job, the employee will constantly operate a computer and other office productivity machinery, such as a telephone, calculator, copy machine, and computer printer. The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and occasionally lift up to 15 pounds.

Schedule

This is a full-time position. The typical work week is 35 hours with a normal schedule of Monday through Friday, 8:00 AM to 4:00 PM.

Travel

Occasional light travel may be required. Travel is primarily local during the business day.