Oversees the care coordination process, managing caseload distribution and tracking report submissions for associates. Responsible for reporting KPIs to clinical leadership and conducting critical clinical analysis of patient cases.
Role Overview
Carisk Partners is a specialty risk transfer & care coordination company. The Nurse Manager position oversees the Care coordination process and its associates within the Carisk Outcomes division.
Role Responsibilities
- Overseeing referral assignments made by care coordination assistant, assuring proper caseload distribution.
- Tracking of report submission by direct reports to QA and assuring any necessary training needs are addressed with each associate in a timely manner.
- Reporting of KPIs to larger clinical leadership team to reflect areas of opportunities and strengths within clinical care coordination team.
- Critical clinical analysis of patient case active problems, risks, and barriers.
- Monthly 1:1 meeting with direct reports to properly align on how associate is tracking against set departmental goals as well as provision of feedback on associate strengths.
- Management and tracking of associate deadlines related to care coordination plan development, report submission, and contract deadlines with associated closure report.
- Escalation and tracking of any user system challenges reported within the team.
- Collaboration with other members of clinical leadership to proactively identify associate barriers, root cause analysis, and implementation of solution in conjunction with the clinical leadership team.
Role Qualifications
- Strong clinical skillset, including diagnostic reasoning.
- Strong medical writing, editing, and formatting skills.
- Strong knowledge of Case Management Systems and/or Electronic Medical Record Systems.
- Strong knowledge of Microsoft Office suite, including Word and Excel.
- Attention to detail in written and verbal communications.
- Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN).
- Experience in Workers’ Compensation 3-5 years minimum, including catastrophic case management.
Preferred Qualifications
- Licensed Registered Nurse (RN).
- Management experience in managed care environment.
Culture and Benefits at Carisk:
- 10 Paid Company Holidays
- Paid Time Off
- Competitive Medical, Dental, and Vision Insurance
- Company Sponsored Life Insurance
- Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits
- 401(k) Retirement Plan with Company Match
- ClassPass Wellness Program
- Employee Discount Program
- Flexible and Hybrid Schedule Options*
- Internal Education Programs and Tuition Reimbursement Options
- Internal Advancement Opportunities
- Company-Wide Diversity and Holiday Celebrations
- Best Places to Work Award Recipient 5 years in a row!
*Schedule options and work location vary between departments and management approval
Carisk Partners provides equal employment opportunities to all employees and applicants for employment, and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.