Do you want to work with an expanding team that values professional and personal growth while also receiving fantastic perks and benefits? We are seeking a Supervisor of Inpatient Nursing with a strong leadership skills and a passion for providing quality healthcare to our members.
WHAT YOU WILL BE DOING:
As the Inpatient Supervisor, you will be responsible for providing oversight of and coordinating daily operations in a manner that ensures that HPSJ, regulatory and contractual requirements related to concurrent review of inpatient activities are met. You will be supervising Concurrent Review Nurses and Intake Processors.
- Plans and assigns work; monitors department workload; makes timely and effective adjustments.
- Resolves or facilitates resolution of the most high risk and/or complex medical issues.
- Researches identified inpatient activity issues, including quality concerns; recommends interventions; implements and monitors corrective action plans.
- Monitors and analyzes established metrics; identifies trends and opportunities for improvements; makes recommendations based on findings.
- Develops, implements and maintains standard policies and procedures that comply with applicable regulations, guidelines and NCQA standards; communicates to appropriate individuals in a timely and effective manner.
- Assists in the development of department objectives, action plans and budgets; executes and monitors business plans.
- Works closely with interdepartmental units to establish and improve workflow and processes: identifies issues and opportunities; resolves issues or makes recommendations as required.
- Compiles, develops and submits routine and ad hoc reports.
- Leads internal audits; assists in the development, implementation and monitoring of corrective action plans.
- Prepares for and participates in regulatory audits; gathers information, maintains required reports, develops and monitors timely and effective corrective actions plans.
- Promotes and maintains an environment that supports HPSJ’s strategy, vision, mission and values.
- Hires, supervises and retains a competent staff.
WHAT YOU WILL GET:
- HPSJ Perks:
- Competitive salary
- Robust and affordable health/dental/vision (90% paid medical for employees and 100% paid dental/vision for employees) with choices in providers
- Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
- CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
- Two flexible spending accounts (FSAs)
- Employer-Paid Term Life and AD&D Insurance
- Employer-Paid Disability Insurance
- Employer-Paid Life Assistance Program
- Health Advocacy
- Supplemental medical, legal, identity theft protection
- Access to exclusive discount mall
- Education and training reimbursement in addition to employer-paid elective learning courses.
- A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
- A shorter commute – if you’re commuting from the Central Valley to the Bay Area.
- Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.
OUR VISION:
- Continuously improve the health of our community.
OUR MISSION:
- We provide healthcare value and advance wellness through community partnerships.
Required Skills
WHAT YOU BRING:
KNOWLEDGE, SKILLS, ABILITIES AND COMPETENCIES
Required
- Strong clinical skills at the RN level as defined in California scope of practice guidelines.
- Strong knowledge of Medi-Cal and/or Medicare and other standards and regulations that pertain to inpatient management.
- Basic knowledge of NCQA and JCAHO standards.
- In-depth knowledge of and proficient skills in administering protocols for utilization management, discharge planning and/or case management.
- Strong knowledge of the healthcare issues affecting the underserved.
- Strong knowledge of medical management information systems pertaining to inpatient activities.
- Strong knowledge of the principles and practices of managed care.
- Strong knowledge of audit processes, and the ability to effectively implement and maintain them.
- Ability to assist in the creation of relevant department objectives, business plans and budget, and monitor same.
- Strong knowledge of and ability to identify, monitor and analyze relevant data and implement relevant and effective interventions based on results.
- Strong analytical and assessment skills.
- Decision quality: Makes good and timely decisions that keep the organization moving forward.
- Action oriented: Takes on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.
- Resourcefulness: Secures and deploys resources effectively and efficiently; organizes people and resources to solve problems and identify opportunities.
- Directs work: Provides direction, delegates and removes obstacles to get work done.
- Plans and aligns: Plans and prioritizes work to meet commitments aligned with organization goals.
- Optimizes work processes: Knows the most effective and efficient process to get things done, with a focus on continuous improvement; can develop, implement and maintain processes.
- Ensures accountability: Holds self and others accountable to meet commitments.
- Drives results: Consistently achieves results, even under tough circumstances.
- Organizational savvy: Maneuvers comfortably through complex policy, process and people-related organizational dynamics.
- Being resilient: Rebounds from setbacks and adversity when facing difficult situations.
- Courage: Steps up to address difficult issues, says what needs to be said.
- Situational adaptability: Adapts approach and demeanor in real time to match the shifting demands of different situations.
- Strong oral and written communication skills with the ability to communicate with diverse individuals and groups inside and outside of HPSJ; includes the ability to effectively explain complex information and document according to standards.
- Strong presentation skills, including the ability to tailor presentations to a specific audience, and address and interact with large groups.
- Strong interpersonal skills with the ability to establish and maintain effective working relationships with diverse individuals inside and outside of HPSJ.
- Strong facilitation, problem solving and conflict resolution skills, with the ability to use tact and diplomacy to diffuse emotional situations.
- Strong collaboration skills with demonstrated ability to create and foster a collaborative work environment, and maintain effective, high performance teams.
- Demonstrated ability to articulate and support HPSJ’s vision, mission, values and strategy, integrate into management practices, and foster their manifestation among staff.
- Ability to supervise staff in a manner that maximizes employee performance and business results, which includes very strong coaching/counseling skills and ability to function as a mentor.
- Strong customer service skills.
- Ability to design workflow and procedures.
- Ability to develop and deliver relevant and effective training and supporting materials.
- Intermediate mathematics skills, including basic algebra.
- Intermediate skills in Word, Excel and Outlook, including the ability to develop spreadsheets, formulas, and create tables and graphs.
Required Experience
WHAT YOU HAVE:
EDUCATION AND EXPERIENCE
Required
- Graduation from an accredited nursing school; and
- At least three years as a licensed nurse in a clinical setting; and
- At least two years’ experience working with MediCal, Medicare or other state or federally sponsored programs; and
- At least one year as a supervisor or two years as a lead in a substantially similar position in managed care; or
- Equivalent combination of education and experience.
Preferred
- Bachelor’s degree in Nursing, Business or related field.
LICENSES, CERTIFICATIONS
Required
- Unrestricted California Registered Nurse license.
- Valid California driver license and reliable transportation or, the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented disability.