Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents.

Summary

The Supervisor of Case Management is responsible for the daily management and clinical oversight of the Care Management team for Align Senior Care members. The Care Management team assists Plan Members to achieve a quality of life and optimal clinical outcomes through coordination of care, including ensuring a safe transition from an inpatient setting to home or a lower level of care.

This leader possesses data analysis skills, excellent communication skills, proven motivational capabilities, and a demonstrated record of accomplishment of leading and motivating talent to deliver and attain goals. This is a remote position with some travel to Senior Housing Communities where Plan Members reside. The Supervisor of Case Management will report to the Vice President of Clinical Programs.

Duties/Responsibilities

• Develops, implements, and monitors standardized protocols to facilitate integrated proactive case management that aligns with the model of care, meets regulatory requirements, and enhances quality of care management services.
• Oversee the daily operations and workflow of care management team ensuring efficient and effective delivery of services to Plan Members, and the orientation and mentoring of new staff and quality/auditing activities.
• Facilitate regular team meetings and/or health plan clinical rounds to discuss case progress, challenges, and strategies for improvement.
• Allocate caseloads and assignments to care management team, ensuring a balanced workload and appropriate matching of client needs with case manager expertise.
• Monitor and evaluate the performance of care management team members, providing feedback, coaching, and professional development opportunities.
• Support and participate in the management and resolution of complex cases and client issues escalated by the care management team.
• Partners with the Vice President of Clinical Programs to ensure adequate staffing and maintain customer satisfaction by implementing and monitoring staff productivity and performance indicators.
• Monitors post-discharge visits to assure continuity of care and prevent unnecessary readmissions.
• Works as a liaison with external organizations to assure lines of communication are in place for member engagement and communicates directly with families, physicians, and community providers as needed.
• Other tasks as assigned

Minimum Qualifications

• Bachelor’s degree in nursing with 2 years relevant experience OR A Master’s degree with 1-year relevant experience
• Registered Nurse with an active license
• Experience as a leader with health insurance, Health Care Plan Programs or Companies
• Demonstrated strategic thinking, process improvement, innovative thinking and team management expertise
• Demonstrated experience in the usage of data to guide decision making

Preferred Qualifications

• CCM certification

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.