Regional RN Supervisor, Care Planning at Commonwealth Care Alliance in Worcester, Massachusetts

Job Description:

Regional RN Supervisor, Care Planning

Job ID

2020-3562

Category

Clinical (Community)

Type

Regular Full-Time

Actual Work Location

Worcester, MA

Why This Role is Important to Us

Commonwealth Care Alliance's (CCA) Care Planning Unit (CPU) is primarily responsible for developing and ensuring adherence to high quality, member-centric care plans through timely execution of community-based assessments for CCA members and ongoing tracking and monitoring.

The Supervisor, Regional RN Care Planning supervises a team of site-based nurses responsible for conducting initial and ongoing assessments and creating patient-centered care plans. The Supervisor, Regional RN ensures that Minimum Data Data (MDS) assessments are completed and documented in a timely, comprehensive, and contractually-compliant manner and that care plans are developed in a robust, member-centered manner.

The Supervisor, Regional RN Care Planning reports to Clinical Director, Care Planning.

At Commonwealth Care Alliance (CCA), our vision is to lead the way in transforming the nation's healthcare for individuals with the most significant needs. If being part of a team and working on combined solutions for patients matters to you…keep reading. We may have something to talk about.

At CCA, your role matters. You'll be joining an organization that is mission driven, believes in internal mobility, has excellent benefits (see below) and embraces innovation when it comes to serving our patients.

What You'll Be Doing

Hires assessment nurses and provides ongoing training regarding standard operating procedures and quality assessments and care plans; tracks and monitors team productivity, and as needed, secures per diem staff to supplement team.
- Maintains expert knowledge of the MDS-HC form and how it is used to measure function leading to rating categories that support member needs and related costs
- Ensures adequate training and technology is made available for nurses conducting MDS visits.
- Works closely with Care Planning Unit managers to balance nurse workload and ensures that assessments and care plans are being done on time and are of consistently high quality
- Conducts a limited number of in-person MDS visits, developing and disseminating best practices regarding MDS completion and patient assessment experience.
- Participates in member assignment stratification meetings with the team and follows up to ensure that members are assigned to the apprropriate clinical model
- Continually improves expertise to optimize capture of correct rating category
- Regularly collaborates with other Care Planning Unit Managers to improve workflow and attain team objectives
- Reviews MDS's for training and quality assurance purposes and collaborates closely with the Manager, MDS Review to improve skills of clinicians
- Arranges for transfer of cases between nurses when needed due to scheduling issues.

What We're Looking For

- Associate's Degree in Nursing
- Bachelor's Degree Preferred
- 5+ years clinical experience
- Experience completing MDS assessments and care plans
- Prior supervisory experience preferred
- RN with active registered nursing license in Commonwealth of Massachusetts, in good standing
- Ability to triage urgent clinical issues and make independent decisions
- Excellent organization skills
- Ability to function effectively as part of a team
- Effective oral and written skills
- Strong interpersonal and customer relations skills
- Effective teaching skills
- Good to excellent technology skills, including use of electronic health records and Microsoft Excel
- Ability to model and create a positive work environment
- Experience with electronic medical record strongly preferred (eCW a plus)
- English required, bilingual preferred
Physical Requirements
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear
- The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 100 pounds
- The employee is occasionally required to walk; sit; and stoop, kneel, crouch, or crawl
- Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus
- Valid driver's license with no restrictions. Ability to be active and mobile across Massachusetts

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Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.