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Blue Cross Blue Shield of Michigan Team Leader - RN in Detroit, Michigan

Responsible for planning, coordinating and supervising assigned department(s)/area(s) to ensure an efficient and cost-effective area of responsibility in accordance with established corporate and departmental policies and procedures. * Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time. Research (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel. * Recommend and assist in acquisition of technology and other tools or equipment and resources to optimize departmental performance and output. * Prioritize and assign work to employees and initiate corrective measures to resolve problems, including scheduling or adjusting overtime requirements as necessary. * Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries. * Administer and adhere to Corporate and departmental policies, practices, and procedures. Prepare reports, manpower needs, inventories, statistical analyses, trends, etc and ability to analyze data to identify issues and opportunities. * Conduct member home visits for small number of high risk members. * Support non-nursing staff with clinical issues. * Review operational data on assessment triggers and goals selected in care plans as well as goal completion rates. * Consult and collaborate with Medical Consultants, Medical Directors, Professional Team and Health Care Providers to develop treatment plans and goals on an as needed basis "Qualifications" * Associate's Degree in Nursing or RN Diploma required. Bachelor's Degree preferred. * Three (3) to six (6) years clinical experience and two (2) years supervisory experience. * Strong organizational, planning, analytical and communication skills. * Excellent interpersonal skills necessary to interact with all levels of personnel. * Working knowledge of PC applications and/or mainframe systems preferred. * Daily travel to assigned on site facility where applicable. Proof of auto liability coverage for nurses on site where applicable. * Valid current Michigan driver's license and personal means of reliable transportation for nurses on site as applicable. * Other related skills and/or abilities may be required to perform this job. CERTIFICATES, LICENSES, REGISTRATIONS * Registered Nurse with current unrestricted state of Michigan license required. Department Summary / Preferences: * This position will not require any travel to onsite facilities. Position will have up to 13 direct reports and will be responsible for evaluating their workload to identify operational needs related to Post Acute Care Prior Authorization. AN understanding of care settings from Skilled nursing facilities, Long Term Acute Care Hospital, Inpatient Rehabilitation, and transitional care in the home setting will be important Experience that is not required, but is considered in selection: - Managing case or patient volumes and assigning staff as needed - Experience using the following systems * CareAdvance * Content Manager * OneNote * SharePoint - Understanding patients with skilled care needs versus custodial care needs to support care decisions for PAC patients - Team Leaders may support oversite of Quality and Training staff and should be comfortable supervising these team members - Experience in discharge planning - Experience assessing and support home care needs - Comfortability assessing therapy and medical needs All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

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