RN Case Manager Supervisor

About the role

The RN Case Manager Supervisor oversees the assessment, care and integrated treatment of individuals residing at the SSLC. This position sets goals and long-range plans for SSLC RN case management services, provides clinical direction and expertise, and oversees RN case management performance indicators.

Responsibilities

• Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
• Sets goals and long-range plans for SSLC RN case management services and manages assigned personnel.
• Hires and assigns caseloads to RN Case Managers.
• Assesses and develops assignments to RN Case Managers based from patient needs and care complexity that will assure safe and quality care.
• Ensures caseloads are adequately distributed so that individuals receive optimal case management services.
• Reassigns caseloads when necessary to adequately balance resources.
• Establishes and evaluates a nursing case management staffing plan that identifies minimum case management resources needs to comply with all regulatory and professional standards.
• Apprises nursing management of nursing case management services resource allocation and reallocation needs and action(s) taken.
• Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy.
• Tracks and aggregates information for the purpose of analysis and feedback to program staff as well as leadership.
• Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel.
• Conducts performance evaluations as assigned.
• Ensures awards and recognition activities that promote staff morale.
• Promotes an environment that empowers nurses to provide effective, compassionate and efficient case management by fostering a climate that enhances job satisfaction through productivity and quality improvement.
• Plans, organizes, and manages the daily activities of RN Case Managers in accordance with SSLC and HHSC policies and procedures, state and federal rules and regulations, and ICF-IID standards.
• Provides clinical direction and expertise and ensures that the nursing case management plans are developed based on an appropriate assessment of specific and specialized resident needs.
• Oversees RN case management performance indicators to ensure each RN Case Manager properly monitors the health status of the individuals assigned them and completes assigned tasks timely and with quality.
• Effectively uses a tracking system to oversee due dates and timeliness of completion.
• Conducts record reviews to audit the quality work performed by the RN Case Manager including the annual assessment, risk ratings, nursing plans of care.
• Provides feedback to the case manager and takes any corrective action needed.
• Oversees the interaction of the RN Case Managers with individuals and teams.
• Collaborates with Nurse Manager and other involved managers to ensure RN Case Managers are prepared and providing accurate information and quality services.
• Conducts monthly meeting(s) with RNCM and nurse managers to provide feedback and resolve issues.
• Oversees the quality of the RN Case Managers participation in the individual’s interdisciplinary team (IDT) and assists the RN Case Manager is resolving any issues that arise.
• Periodically attends unit meetings to ensure RN Case Managers are prepared and providing accurate information for the development of service plans.
• Performs chart reviews/audits to determine the IDT documentation is sufficient and accurate.
• Assists RN Case Managers in resolving issues that arise in the IDT such as a difference of opinion on clinical issues, necessary tests or services, and/or treatment protocols.
• As needed, advocates for the RN Case Managers perspective within the IDT, providing additional information or training to IDT members.
• Initiates action to resolve issues with other IDT managers and consults with the Chief Nurse Executive (CNE) if necessary.
• Oversees nursing case management policies and procedures and recommends changes when needed.
• Facilitates the implementation of standards of practice that are consistent with the Board of Nursing, ICF-IID standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and SSLC.
• Participates in quality assurance reviews and other activities related to the development/enhancement/refinement of nursing policy and procedure in order to evaluate and improve the quality of nursing case management provided.
• Oversees implementation of local Quality Improvement plans (QIPs) and corrective action plans (CAPs) involving RN Case Manager duties.
• Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing case management.
• Oversees the RN Case Managers’ analysis of data for trends for incidents and issues such as emesis, falls, seizures, restraints, adverse drug reactions and/or injuries.
• Develops and updates training curricula, including the RN Case Manager training curriculum, and provides training to new and incumbent RN case managers in collaboration with the Nurse Educator.
• Provides in-service training to professional staff and other specialty areas as needed in collaboration with the Nurse Educator.
• Assigns targeted training, such as training on nursing care plans, to RN Case Managers based upon audits/reviews.
• Provides opportunities for clinical learning experiences such as by visiting other SSLCs, State Hospitals, and local hospitals.
• Attends monthly subject matter expert meetings related to case management.
• Provides consultation, training and technical assistance to nurses, IDT members and others on standards and practices for nursing case management.
• Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing case management services.
• Establishes and maintains professional work relationships with individuals, co-workers, supervisors, ancillary staff and visitors.
• Mentors and coaches new RN Case Managers and other nursing staff within the scope of practice.
• During rounds, ensures individuals have their supports and assists DSPs when necessary.
• Attends various meetings as assigned and depending upon the needs of the SSLC such as: morning medical meeting, IDTs in the absence of the assigned RN Case Manager, medical provider meetings, human rights committee, level of supervision meetings, transition meetings, pre-placement visits, Quality Assurance/Quality Improvement (QAQI), and/or skin integrity/wound care meetings.
• Completes any required actions and documentation following the meeting.
• Participates in other work groups and processes as assigned such as reviews of serious incidents, mortality review committee, state-and federal monitoring and review processes.
• Oversees the records and documents provided by RN Case Managers for these reviews.
• Provide direct care nursing services and responses to urgent matters (such as high profile incidents) as needed.
• Administers medication, immunizations, and treatment, and observes patients for unusual symptoms and reactions.
• Provides treatment to HHS employees injured in course and scope of employment.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor's degree in Nursing (BSN) from an accredited college or university.
• Current Texas RN license.
• Current CPR certification.
• Minimum of 5 years of progressive experience in nursing, preferably in a healthcare setting serving individuals with intellectual and developmental disabilities.
• Experience in case management, leadership, and supervisory roles.
• Knowledge of ICF-IID standards, CMS conditions of participation, and Texas Administrative Code (TAC).
• Strong organizational, communication, and problem-solving skills.
• Ability to work independently and as part of a team.
• Ability to manage multiple priorities and deadlines.
• Ability to communicate effectively with residents, families, and interdisciplinary team members.
• Ability to make sound clinical judgments and take appropriate action.