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Manager Care Management

Manager Care Management

Cleveland ClinicPort Saint Lucie, FL, US
30+ days ago
Job type
  • Full-time
Job description

Manager Care Management

Join Cleveland Clinic Tradition Hospital's team of caregivers that provide top-quality patient care to the communities in and around Port St. Lucie. Opening its doors in 2013 and expanding in 2017, this state-of-the-art acute care facility has 177 patient rooms and offers services in a wide variety of specialties to meet community needs. You'll be supported as you follow your dreams and find where you belong, here at Tradition Hospital.

As a Manager of Care Management, you will supervise care managers, clinical referral coordinators, nurse reviewers, social workers, administrative, clerical support, and day-to-day operations of the department. A caregiver in this role utilizes clinical expertise and understanding of utilization review requirements, discharge planning process, and Medicare regulations to help ensure timely and quality patient care.

A caregiver in this position works Monday - Friday, 8 : 00am4 : 30pm.

A caregiver who excels in this role will :

  • Assist with hiring, orienting, evaluating, and supervising performance of the care management and social work staff.
  • Arrange schedules, evaluate caseloads, and make daily assignments.
  • Evaluate and address educational needs of staff, conducts performance improvement management and issues corrective action as needed and ensures consistent applications of policies and compliance.
  • Provide input into the department budget, policies, and procedures.
  • Assist in the development of department practices and procedures for utilization review and discharge planning, ensuring compliance with managed care contracts and Medicare regulations.
  • Analyze productivity and other outcome measures to identify opportunities for continuous improvement.
  • Manage information systems to maximize the efficiency of discharge planning.
  • Develop and monitor routine data quality validation.
  • Act as liaison with other review-related and discharge planning related functions and communicates with departments as necessary to ensure coordination of related processes and functions.
  • Establish relationships with post-acute care providers.
  • Serve as a clinical subject matter expert for teams lead by other disciplines.

Minimum qualifications for the ideal future caregiver include :

  • Candidate must meet either the Nursing or Social Work education requirements.
  • Registered Nurse : Bachelor of Science in Nursing (BSN) or Bachelor's in related field.
  • Social Work : Master's degree in Social Work accredited by the Council on Social Work Education.
  • For Registered Nurses : Current and valid license to practice as a Registered Nurse (RN) in state of employment.
  • 3 years of experience in utilization management, case management, or discharge planning and 3 years of clinical experience.
  • Preferred qualifications for the ideal future caregiver include :

  • Master's degree in nursing or related field.
  • Professional certification as a Case Manager (CCM).
  • For Social Workers : Current and valid license to practice as Licensed Social Worker (LSW) in state of employment.
  • 3 years of experience in a hospital / health care setting, including experience with data collection and performance improvement activities.
  • Previously supervisory experience in care management or social work.
  • Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you :

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    Manager Care Management • Port Saint Lucie, FL, US

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