Manager Of Case Management

Overview

The Manager of Case Management provides leadership to and direct oversight of the provision of Case Management services and functions related to the daily operation of the Care Coordination Department and provides direct supervision to RN Case Managers and SW Case Managers.

Responsibilities

• Manages departmental budget
• Interviews, selects, hires, and retains employees
• Ensures orientation and training for employees
• Manages performance
• Promotes, demotes, or transfers employees to meet organizational needs
• Executes progressive discipline up to and including termination
• Manages departmental productivity standards
• Performs compliance requirements as outlined in the Employee Handbook
• Approves payroll and is responsible for accurate payment of employees
• Manages front line operations of area of accountability related to meeting/exceeding departmental goals, 5 keys of excellence, and DCH Mission and Vision.
• Participates proactively in the goals and objectives of the Case Management Department in reducing medically aberrant LOS, and establishes personal goals to achieve desirable outcomes organizationally.
• Analyzes, assesses, and reviews processes to create work plans for Case Managers (RNs and SWs) personnel in order to achieve departmental goals
• Responsible to create, support, and participate in structures and processes focused on improving length of stay (LOS) and reducing readmissions
• Supervises professional and clerical employees who work with a range of functions, including, but not limited to Care Management and facilitation, discharge planning, and clinical social work
• Plans, organizes, and schedules employees to ensure appropriate resourcing and caseload distribution to achieve goals of the care management plan
• Supports and audits compliance processes associated with the work of care coordination
• Implements defined quality improvement and care coordination processes including, but not limited to, ensuring data collection, analysis of data, evaluation of outcomes and report generation
• Assists in planning and implementation of opportunities and new ideas to promote the care managers and social workers growth and development
• Demonstrates excellent customer service to both internal and external customers through positive communications, cooperation, professional behavior, and displaying by actions that customer satisfaction is the primary goal of this institute
• Adapts to constantly changing healthcare environment by recognizing opportunities for improvement and embracing change to bring about improvements
• Directs, evaluates, and develops systems and procedures for efficient and effective operations for care management and coordination
• Assesses employee competency and identifies the educational needs of care managers as well as the quality of services delivered
• Collaborates with physicians, nurses and other clinical roles to identify opportunities to improve functions related to care management and evaluates the impact of improvement activities
• Represents the care management department as needed to provide expertise regarding care management functions
• Must adhere to all DCH Health System facility and Care Coordination Department policies and procedures, as well as standards from external regulatory agencies and accrediting bodies (., JACHO, Department of Public Health, AQAF, KePro,

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Mission, Vision, and Values including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Qualifications

• Minimum of 3 to five years clinical experience required in the acute care setting and/or home care preferred
• Minimum of three years Care Management experience (utilization management, discharge planning, and care facilitation) required
• Bachelor’s Degree in Nursing with current Alabama Nursing license (RN) preferred, or MSN with Alabama Nursing License
• Case Management Certification by a national accreditation organization for case management preferred
• Ability to establish priorities, meet deadlines, and maintain proper productivity
• Ability to exercises independent thinking, judgment, and decision-making and accept accountability and responsibility for decisions and actions.
• Ability to problem solve in a proactive, creative manner, using sound judgment based on factual information and clinical knowledge
• Excellent leadership skills and supervisory experience required
• Ability to lead and actively participate in multidisciplinary teams
• Excellent computer skills
• Proficiency in MS Office, MS Outlook, and Internet required
• SQL database experience preferred
• Meditech experience or experience with an electronic medical record preferred.
• Excellent interpersonal skills and communication style
• Must have knowledge of Medicare regulatory and compliance issues
• Requires use of electronic mail, time and attendance software, learning management software and intranet

WORK CONTEXT

• Ability to form positive, collaborative relationships with physicians, colleagues, hospital staff, patients, families, and external contacts
• Ability to provide guidance and direction to subordinates, including performance standards and monitoring performance
• Ability to encourage and build mutual trust, respect, and cooperation among team members
• Ability to communicate with people outside the organization and represent the organization to the public, government, and other external sources
• Ability to work independently or within a team structure
• Must be able to read, legibly write, speak, and comprehend English
• Must be able to operate a telephone and computer
• May be exposed to environmental cleaning chemicals

PHYSICAL FACTORS

• Requires Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work
• Ability to tolerate prolonged periods of sitting, standing, and/or walking
• Ability to reach reasonable distances to handle equipment
• Good manual and finger dexterity
• Must be able to perform the duties with or without reasonable accommodation
• Hearing and vision must be normal or corrected to within normal range
• Physical presence onsite is essential