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. They set goals and long-range plans for SSLC RN case management services, provide clinical direction and expertise, and manage assigned personnel.

Responsibilities

• Hires and assigns caseloads to RN Case Managers.
• Assesses and develops assignments to RN Case Managers based from patient needs and care complexity.
• 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.
• 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.
• 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.
• Plays a key role in planning, organizing, and managing the daily activities of RN Case Managers.
• 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.
• Oversees that, based on data analysis and trending, RN Case Managers are using good clinical judgement, communicating issues to the IDT, completing a change of status to ensure a care plan is put in place, and ensuring risk levels are appropriate.
• 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 succeed in this role, candidates should possess a Bachelor's degree in Nursing (BSN) and a current Texas RN license. Previous experience in a similar role is preferred but not required. Strong communication, organizational, and leadership skills are essential. Proficiency in Microsoft Office and familiarity with electronic health records (EHR) systems is beneficial.