Manager for Case Management- Bayview Location

Job Title

Responsible for the coordination, supervision, and administrative oversight to the case management team. Functions as an expert clinical practitioner, resource, advisor and leader for the members of the case management team. Supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with Medical Center policies, and applicable regulations and guidelines. Monitors quality of documentation and assessments with the patient/family by regular auditing.

12 week contract- most likely an extension

M-F 8:30-5pm

No weekends

Payrate- $95 per hr

Responsibilities

Principal Duties and Responsibilities

• Ensures adequate staffing coverage of all areas of responsibility by monitoring staffing needs, preparing schedules and approving leave requests, and arranging for coverage when staff are absent. Coordinates with the manager utilization management as needed.
• Ensures that policies and procedures are kept current and staff is educated and monitored to be in compliance.
• May coordinate interdisciplinary care for a select caseload of patients from pre-admission through post discharge and taking into consideration the age and development needs of the patient.
• Coaches the case managers by review and ongoing case discussion to develop the optimal safe transition plan taking into account patient and family preferences.
• Evaluates readmissions with the Collaborative Practice Team to identify ways to improve the transition plan with the goal to reduce readmission.
• Attends interdisciplinary rounds routinely on units to identify barriers in transition planning and assist the case manager in addressing those barriers. Ensures that the interdisciplinary rounds follow standard work processes and collaborative communication with the team.
• Develops relationships with the medical staff to increase collaboration and ensure open and reliable communication around initiatives and patient care issues.
• Acts as a preceptor for case managers in the onboarding process or oversees the orientation if the preceptor role is delegated.
• Incorporates the principles of reimbursement and managed care strategies into case management services.
• May participate on relevant administrative and clinical committees.
• Ensures that staff are oriented to various areas of assignment and maintain the necessary levels of training and continuing education.
• Works with clinical and administrative staff to identify undesirable trends in clinical service delivery and patient outcomes and participates in efforts to improve performance in these areas.
• Responsible for personnel management activities to achieve quality services and positive employee relations including performance reviews, counseling and discipline and assisting supporting staff in resolving complex or difficult issues.
• Monitor the quality of services rendered by staff. Assures that monitoring activities are completed according to established policies. Evaluates the results of monitoring activities and implements corrective actions for deviations from standards.
• Responsible for effective fiscal management to ensure efficient utilization of financial and material resources. Participates in the preparation of the annual budget, monitors expenditures, and completes appropriate reports in a timely manner.
• Participates in leadership activities and special projects pertinent to area of management and as assigned by the Director.
• Responsible for review and authorizations of charity care.

Qualifications

Required Knowledge, Skills and Abilities

Work requires the level of knowledge of theories, principles and concepts typically acquired through the completion of a Bachelor's degree in nursing or a closely related field. Master's degree is preferred.

Current MD licensure as a Registered Nurse required. Annual Certification in CPR is required. Certification required within 2 years of the position, ACM or CCM.

Requires 5 years of experience in case management.

At least one year of team leader or other leadership experience.

Knowledge of insurance benefit structures, Medicare Conditions of Participation and regulations.

Knowledge of utilization management and quality improvement processes.

Knowledge of outpatient services and settings available.

Work requires the analytical skills necessary to resolve problems requiring a professional level of knowledge in a specific discipline/field and/or improve, enhance, or upgrade complex clinical, financial, data processing, marketing, or human resources systems and programs.

Work requires the communication skills necessary to effectively manage the employees within assigned area and to persuade and negotiate with peer-level managers on issues and programs that impact the department. Work requires effectively dealing with conflicting views or issues and mediating fair and workable solutions.

Must complete the Training Checklist for Managers and Supervisors (described in the Training Catalog under Management Development Curriculum) within twelve months of employment/promotion date.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.