Company Background

Healthmap Solutions (Healthmap) is an NCQA-accredited industry leading kidney population health management company. Healthmap uses big data resources, integrated advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees.

We are champions for better health, for those who need us most.

Position Summary

The Supervisor of Care Navigation will be responsible for the daily oversight of the Care Navigation team which may include Care Navigators, Care Coordinators, and/or Licensed Clinical Social Workers. The supervisor will work in a multidisciplinary team environment to ensure consistency with interventions geared at supporting members. The supervisor will be accountable for meeting the financial, operational, and quality objectives of the organization within key performance indicators.

Daily activities will include engagement with team members to answer questions, problem-solve, offer coaching opportunities, and support individuals on the team. The position will collaborate with internal and external stakeholders to ensure positive patient outcomes.

Responsibilities

• Serves as a subject matter expert regarding practice standards, quality, workflow, and problem-solving to address client, staff, member, and/or patient needs
• Performs regular call monitoring audits
• Performs Monthly Care Services Process Audits per policy
• Ensure client Performance Guarantees are met
• Provides review and feedback of new and ongoing training content
• Monitors and communicates key performance objectives, productivity expectations, and course corrective actions to staff weekly during 1-1 sessions and team settings where appropriate
• Represents HealthMap Solutions Care Services at internal and external audits
• Participates in recruitment, hiring, and development of staff
• Creates an environment promoting the concept of teamwork, individual contribution, acknowledging and incorporating feedback for positive team morale
• Acts as liaison with other key internal business partners focused on customer satisfaction
• Oversees case management rounds
• Oversees projects as assigned
• Provides Root Cause analysis with solutions
• Models and drives effective change management
• Coach and Mentors Staff for development
• Encourages an environment for positive team morale
• Applies forward-thinking with creative solutions to barriers
• Complies with HIPAA privacy laws and all other federal, state, and local regulations
• Ensures compliance with policies and procedures in agreement with regulatory and accreditation standards, NCQA, CMS
• Willingness to obtain additional RN State licensure as appropriate
• Performs other related duties as assigned
• Complies with company security policies
• Follows all company-defined operational policies and procedures
• Uses multiple technical applications including Word, Excel spreadsheets, electronic calendars, email and other software applications
• Monitors and manages key performance indicators as identified by the organization level and department level
• Builds strong cross-functional relationships with internal departments as well as physician partners and practice staff
• Performs other related duties as assigned

Requirements

• Registered Nurse
• BSN preferred
• Certification in Case Management preferred
• 3 or more years of experience in case management
• Experience in a dialysis center or transplant center preferred
• Experience in customer service is strongly preferred
• Proof of full Covid-19 vaccination

What You Bring to the Team

• Demonstrated Organizational skills
• Demonstrated Knowledge of Case Management and Managed Care
• Strong Motivational Interviewing Technique
• Strong Communication skills
• Knowledge of Medicare, Medicaid preferred
• Ability to work in a fast-paced environment with changing priorities
• Problem-solving capabilities
• Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

Why Join Healthmap Solutions?

• Be a Champion for Better Health: Healthmap Solutions is transforming the kidney population health management industry and improving the healthcare experience for patients. Healthmap has a proven formula for driving success for its clients and patients.?
• Unmatched Expertise in Mapping a Healthier Future: Healthmap Solutions uses proprietary algorithms, big data, and personalized interactions to drive better health outcomes for patients and value-based care for health plans. ?
• Exciting Opportunities: Healthmap is poised for hyper growth and needs talent with vision to see the future state and willingness to jump in and build it. ?
• Meaningful Partnerships:? Healthmap Solutions has been recognized as a top employer?by numerous media and professional organizations. Talented, passionate individuals make the difference in this fast-moving, collaborative, diverse, and inspiring environment.?
• Growth and Innovation:? At Healthmap, we are just getting started. Come grow with us and support our mission to make a tangible difference in the lives of our members.?

The road to better kidney health management starts with Healthmap Solutions.

As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.