Supervisor - RN Medical Management

Providence Health & Services - Beaverton, OR (30+ days ago)3.7

Providence is calling a RN Care Coordinator Supervisor to Providence Health & Services in Beaverton, OR.

The RN Care Coordinator Supervisor is responsible for providing day to day oversight for the general operations of the Care Management and Medical Review teams within Quality Medical Management (QMM) and works in cooperation with the Manager to provide leadership and guidance for the QMM staff. In addition to supervisory responsibilities, duties include all functions of the RN Care Coordinator, providing case management or medical review, including coordination and assistance to patients with complex health needs or the potential for poor health outcomes.

In this position you will have the following responsibilities:

Oversee the daily activities of staff, including hiring and performance management.
Perform the six essential activities of case management: assessment, coordination, planning, monitoring, implementation and evaluation in multiple environments.
Perform case management of chronic and catastrophic cases to effectively manage services, benefits, costs and quality following policies and procedures of the Utilization Management Program.
Provide case management for specialty programs as required by commercial and government contracts or product design.
Develop and maintain positive relationships with providers and facilities to facilitate case management; maintain knowledge in subject matter and enhance Health Plan expertise in the area of case management.
Track and report case management activities, savings and outcomes as appropriate for the individual program and as required, supporting the Utilization Management Program.

Required qualifications for this position include:
Bachelor’s degree in nursing or health care. Applicable work experience may be substituted for some education.
Graduation from an accredited school of nursing or graduation from an accredited equivalent clinical program.
5 years of clinical experience.
Current licensed driver.
Currently licensed as a registered nurse in the state of Oregon.
Demonstrated leadership ability.
Ability to make independent decisions.
Effective verbal and written communication and problem solving skills.
Demonstrated ability to coach and teach to enhance team development.
Demonstrated ability to understand, adapt and respond effectively to a constantly changing environment.
Strong organizational, analytical, and leadership skills.
Excellent oral and written communication skills.
Ability to work in a dynamic environment, handle change and remain flexible.
Ability to conduct oneself in a professional manner, both orally and in writing.
Ability to work independently, to be self-directed, and to function within a team environment.
Demonstrated creativity and flexibility in problem solving and development of alternative approaches to the traditional delivery of health care.
Ability to manage multiple projects and staff simultaneously to achieve department and company strategic goals.
Experience in working with physicians in collaboration and management of patient care.
Demonstrated experience in project management, educational program development and implementation, and personal computers.

Preferred qualifications for this position include:
Previous supervisory or lead experience.
Experience in Care Management and/or Medical Management in a Managed Care setting.
About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Supervisory / Management

Location: Oregon-Beaverton

Req ID: 190693