Advanced Transitions of Care Supervisor

ID 2024-26588
Alamance Regional Medical Center
Work Location
Division : Name
System Wide
Department : Name
SW-Transitions of Care
Position Sub-Category
Position Type
Full Time (40 hours/week)
Employment Type
Workforce Status
Work Hours
Provider Schedule (specific schedule)
Monday-Friday - 8 am - 4:30 pm
On call Required
Sub Category


The Advanced Care Transitions Supervisor assists departmental leadership in the day- to- day functions of the Advanced Care Transitions team. This position is directly responsible for the supervision and coordination of daily care transition team activities on assigned campus(es), including: hiring, quality management, orientation, training, competency assessments, daily work assignments and campus-based outcomes. This position is also directly responsible for identifying and addressing barriers to successful departmental outcomes in collaboration with departmental leadership. The Advanced Care Transitions Supervisor, in direct collaboration with the Director of Advanced Care Transitions, and other members of the health care team is accountable for supervising staff in meeting patient-specific and age-related recovery care needs, to ensure safe transitions of care from the inpatient setting. The Team Lead should be an active participant in process improvement activities across the continuum of care.

Talent Pool: Allied Health


Day to day Operations: Supervises assigned staff. Interacts on a daily basis with assigned campus/site to ensure all activities are completed appropriately and in a timely manner. Is visible in patient care areas and available to staff there at least 75% of the time in order to adequately assess departmental needs and employee performance. Ensures the visibility of staff in patient care areas based on departmental hours of operation. Recognizes need for, and assumes, frontline staffing functions as required and within the limitations of the work required and the Advanced Care Transitions Supervisor?s education and licensure. In collaboration with departmental leadership, the supervisor is responsible for hiring, orienting, conducting appropriate appraisal and/or corrective action processes, and promotes professional development of staff. Organizes and implements orientation according to departmental standard work and provides for routine follow-up with staff member on progress. Promotes professional development.
Departmental Outcomes: Provides guidance to all members of the Advanced Care Transitions team regarding daily issues and complex cases to identify barriers, develop action plans. Supervises campus-based Quality Collaborative meetings in partnership with Physician Advisor; identifies complex cases in need of leadership involvement and escalates in a timely manner; follows up with staff to ensure timely progression and outcomes. Proactively identifies issues or opportunities for improvement surrounding medical staff documentation, patient compliance, utilization of resources, progression of care, length of stay, and readmissions; makes recommendations for action to the Department Director or Department leadership team as appropriate.
Program Development. Proactively identifies need for the development of new policies and procedures based on best practice recommendations and/or reinforcement of existing departmental and/or organizational policies and procedures; consistently presents this information, with recommendations, to the leadership team.
Management of People: Consistently demonstrates respect for the contributions of all team members. Collaborates with others to develop transitions of care processes that ensure quality, access, and cost-effective outcomes for patients and families. Utilizes problem-solving skills and techniques to reconcile potentially differing points of view among members of the healthcare team in order to ensure wishes and needs of patients and families are understood and respected. Identifies and communicates ineffective practices/procedures and challenges underlying assumptions. Looks for the root cause of any problem, resulting in solutions that are enduring and sustainable. Accepts responsibility for effective two-way communication using clear and well-organized oral and written techniques. Demonstrates self-awareness of non-verbal messages, keeping verbal and non-verbal messages consistent.
Regulatory Compliance: Supervises quality improvement measures to ensure staff are documenting completely, accurately and within timeframes and guidelines specified by regulatory bodies. Maintains understanding and awareness of The Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), N.C. Department of Health Service Regulation (DHSR), Quality Improvement Organization (QIO), and other regulations; educates staff on assigned campus(es); ensures continual compliance; and alerts departmental leadership to any barriers to compliance.


BSN (Bachelor of Nursing)
MSW (Master of Social Work) from a
program accredited by the Council on Social
Work Education
Master?s degree in a health-care related field

Three to five (3-5) years of recent case management or clinical social work experience in a healthcare or behavioral health related environment. (LCSW candidates must have a minimum of 2 years experience following full licensure)
Previous supervisory or management experience preferred

Current RN (Registered Nurse) licensed in North Carolina or a Compact state
LCSW (Licensed Clinical Social Worker) with a minimum of 2 years? experience following full licensure
BLS (CPR)-American Red Cross or AHA Healthcare Provider- required for RNs and all Team Leads assigned to Cone Behavioral Health. Not required for Clinical Social Work Team Leads except at Cone Behavioral Health.
Valid Driver's License - If driving Cone Health vehicle, must have 5 years of driving experience and MVR must be approved by Risk Management.
Current case management certification of CCM or ACM preferred for RNs.


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