Supervisor, Care Navigation

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🕒 June 24

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Community Care of North Carolina

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Community Care of North Carolina is committed to improving the health of its communities by transforming the healthcare experience. The organization addresses the inefficiencies and frustrations often associated with healthcare delivery by uniting regional networks of healthcare professionals, including doctors, nurses, and social service agencies. Through a public-private partnership, they implement a Medical Home model that emphasizes cooperative, coordinated care tailored to individual patients, benefiting millions in North Carolina.

📋 Description

• Assist Director with development and implementation of the Care Navigation program including performance metrics, processes, and workflows • Drive distribution of work to ensure member engagement rates of the rising risk population and program outcomes are achieved • Collaborate between the care management, practice, quality improvement and/or provider relation teams as necessary to ensure seamless coordination of care for members • Ensure care navigation staff provide outstanding and efficient service to our members, including receiving and processing referrals from payers, practices, or members focused on Social Determinant of Health (SDOH) • Provide resources, screening for possible clinical needs, and referring to the clinical Care Management team as appropriate; driving members to primary care and other supports, addressing post discharge care needs, follow-up care, and preventive health services as needed • Monitor and evaluate program measures, ensuring staff focus is placed on rising risk populations • Assist with developing and implementing new workflows, processes, and programs, as necessary to contribute to the program and the organization's success • Develop and implement a clear escalation pathway for cases that require a warm hand-off to a clinical team member • Supplement field-based, non-clinical care navigation, and member engagement activities as needed • Ensure quality and equal workload distribution to care navigation staff • Engage and maintain collaborative relationships with internal and external stakeholders • Assure team members adhere to the policies, procedures and requirements of the external system supplying the Hospital/Data or EMR access • Utilize Hospital/Data, HIE or Electronic Medical Record system, as necessary • Assure team members have individual and/or team-based productivity goals to meet established performance targets that align with corporate goals and objectives • Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded

🎯 Requirements

• Registered Nurse Graduation from an accredited school of nursing • BSN (Bachelor of Science in Nursing) preferred • Active, unrestricted RN (Registered Nurse) license to practice in North Carolina • Minimum two years’ case/care management experience or relevant health care experience required • CCM (Certified Case Manager) certification required • Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification • Maintain ability to gain and keep access to Hospital/Data or Electronic Medical Record systems • Maintain a valid driver’s license with current auto liability insurance. • Social Worker (MSW required; LCSW (Licensed Clinical Social Worker) required) • Minimum two years’ case management experience or relevant health care experience required • CCM certification preferred; will obtain within 2 years of hire • Maintain ability to gain and keep access to Hospital/Data or Electronic Medical Record systems • Maintain a valid driver’s license with current auto liability insurance

🏖️ Benefits

• Make a meaningful impact on youth and families across North Carolina • Work with a supportive and collaborative care team • Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives