Under the direction of the Associate Director of Programs, the **Clinical Supervisor-RN-ECM** is responsible for overseeing the development and implementation of a high-quality ambulatory care program. This role ensures compliance with regulatory requirements, accreditation standards, and quality improvement initiatives while promoting data-driven performance management.
The **Clinical Supervisor-RN-ECM** collaborates with interdisciplinary teams to analyze clinical performance metrics, implement process improvements, and enhance patient care outcomes. This position plays a key role in establishing best practices, supporting quality and safety programs, and leading nursing staff within the Enhanced Care Management Program (ECMP).
Essential Functions:- Analyze clinical performance metrics related to top diagnoses, procedures, and operational outcomes.
- Oversee quality improvement initiatives, based on HEDIS, UDS and patient experience metrics.
- Work closely with the Associate Director of Programs, committees, and other work groups to drive desired outcomes.
- May act as knowledge expert for continuous improvement activities in all clinical, functional, and administrative areas.
- Conduct monthly reviews of clinical quality measures, patient safety reports, and national benchmark assessments.
- Planning and overseeing admission, nursing, and patient care processes.
- Develop and implement short- and long-term goals for the ECM nursing department.
- Assist with nursing and case management procedures, ensuring alignment with best practices.
- Assist with tracking development of health plan creation, health plan implementation, outreach services and others.
- Conduct regular inspections of the ECMP (Enhanced Care Management Program) staff members.
- Travel to both Kern and Fresno counties as needed for supervision or/and training
You'll be successful with the following qualifications:- Education & Licensing
- Graduation from an accredited School of Registered Nursing.
- Valid California Registered Nurse (RN) license required.
- Experience
- 4-5 years of quality management experience in healthcare (ambulatory care preferred) or 2+ years of supervisory/leadership experience preferred.
- Technical Knowledge & Skills
- Strong understanding of quality improvement tools (Lean concepts, root cause analysis, statistical process control, patient safety initiatives).
- Expertise in regulatory requirements: TJC, HEDIS, MCAS, ECMP, UDS, Medi-Cal, and public assistance programs
- Knowledge of healthcare planning, administration, and regulatory policies.
- Advanced skills in data analysis, research, and reporting.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
4. Interpersonal & Professional Skills
- Excellent written and oral communication skills for engaging staff and leadership teams.
- Strong problem-solving, conflict resolution, and decision-making skills.
- Ability to lead, train, and mentor nursing staff in a collaborative environment.
5. Other Requirements
- Bilingual (Spanish) preferred.
- Must be willing to travel between Kern and Fresno counties for supervision and training.
- Maintain confidentiality in accordance with HIPAA laws.