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RN Team Lead (DSNP)

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  • Job
    Full-time
    Senior Level
  • Healthcare
  • £110K - £125K
  • New York City

Requirements

  • Nursing degree with active license in the state of NY (RN).
  • Five (5) or more years’ experience in a member services department, health care organization, Community Based Organization, or social services environment.
  • Advanced computer skills including ability to work in multiple programs simultaneously.
  • Demonstrated ability to work in a fast-paced environment and manage staff to both meet and exceed goals and key performance measures.
  • Passionate about customer service with a continuous improvement mindset.
  • Excellent problem solving, trend identification, and analytical skills, with a demonstrated ability to problem solve effectively and efficiently.
  • Commitment to high ethical standards in all work; protects the privacy of members.
  • Excellent oral and written communication skills, including presentation skills.
  • PREFERRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS:
  • Demonstrated progressive leadership experience in a managed care or HMO setting strongly preferred.
  • Demonstrated background in a SNP environment strongly preferred.
  • EDUCATION AND TRAINING:
  • A undergraduate nursing degree required. Master’s degree in healthcare or nursing preferred.
  • LICENSE AND CERTIFICATION:
  • An active, unrestricted nursing license in the state of New York is required.

Responsibilities

  • Orient new staff members to the Belong Health DSNP programs.
  • Provide on-going support to staff related to the programs, care coordination, provider needs and internal customer requests.
  • Empower team members to make informed decisions and advocate on their members' behalf.
  • Assign and balance caseloads.
  • Review reporting for key performance indicators and develop strategies to improve results.
  • Organize and maintain employee schedule, payroll duties and one on one meetings with staff.
  • Audit employee documentation and phone calls to ensure quality and compliance with policies, procedures and CMS requirements.
  • Review employee performance and provide ongoing feedback and development.
  • Complete annual performance review cycles.
  • Act as the SME for current and future EMR platforms.
  • Develop and maintain a collaborative relationship with provider offices, community-based resources, and the entire Belong Health team.
  • Participate in cross departmental projects and policy and procedure changes, including coordination of activities and initiatives across departments.
  • Promote a culture of accountability and performance to both meet and exceed personal service vision goals and ensure timely and satisfactory resolution of highly complex, specialized, and non-routine customer issues.
  • Directly supervise and manage a diverse team of healthcare professionals.
  • SUPERVISORY RESPONSIBILITIES:
  • This role has supervisory responsibility for the DSNP Care Management team.

FAQs

What are the key responsibilities of the RN Team Lead (DSNP)?

The RN Team Lead (DSNP) is responsible for monitoring staff on all aspects of care management for the DSNP line of business, overseeing staff managing their time and meeting all care management DSNP requirements, monitoring and reporting on key performance indicators, and educating and coaching staff and external provider partners.

Who does the RN Team Lead (DSNP) report to?

The RN Team Lead (DSNP reports to the Director of Care Management.

What activities does the RN Team Lead (DSNP) oversee related to care management for DSNP members?

The RN Team Lead (DSNP oversees activities such as assessments, care planning, transition of care needs, interdisciplinary care team meetings, and other care coordination activities for DSNP members.

How does the RN Team Lead (DSNP) ensure staff meet key performance indicators?

The RN Team Lead (DSNP monitors, reports, and audits phone calls and documentation to ensure staff are meeting key performance indicators.

What is the role of the RN Team Lead (DSNP) in educating and coaching staff and external provider partners?

The RN Team Lead (DSNP educates and coaches staff and external provider partners on DSNP plans and services available to members and beneficiaries, such as social and health support services and community resources.

Kinder, more supportive care.

Science & Healthcare
Industry
51-200
Employees
2021
Founded Year

Mission & Purpose

Belong Health delivers a more compassionate, straightforward insurance experience for Medicare-eligible individuals by partnering with regional health plans to help them launch or grow market-leading Medicare Advantage and Special Needs Plans. High-quality health care should be accessible to all, and local, regional health plans are best positioned to serve their communities as their trusted health insurance partners.