Manager of Case Coordination

Job Description

Additional Information About the Role 24 / 7 Management and Coordination of the Case Management department at Barnes-Jewish Hospital Full-Time;

benefits eligible! Excellent team culture! Ideal candidate will have a BSN, at least 5 years of Case Management experience, and at least 2 years of leadership experience.

Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.

S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals.

Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The CM Services reports through the division of Patient Care Services lead by the Chief Nursing Executive, Vice President of Patient Care Services.

The CM Service is comprised of three departments : Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, the objectives of the CM Services are for all patients to have access to healthcare through the BJH continuum and appropriate, safe discharge plans.

The SW department is open 24 hours / day while the CM department is open 20 hours / day. Both departments provide coverage throughout the hospital including the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management.

The Service employs registered nurses, social workers, a license practical nurse, a customer service representative, and administrative assistants.

Preferred Qualifications Role Purpose Responsible for the management direction and coordination of Case Management, components of the Care Coordination Department.

Plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies.

May be responsible for per-certification and social services. Responsibilities Manages designated aspects of the case coordination, precertification, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability.

Manages individual(s) including but not limited to : hires, trains, assigns work, manages & evaluates performance, conducts professional development plans.

Ensures that the productivity and actions of that group meet / support the overall operational goals of the department as established by department leadership.

Develops and adheres to departmental staffing, revenue and / or expense budgets. Responds to changes in the business which may affect the ability to achieve the budgets goals, grant expectations.

Makes adjustments in programs to support the needs of the target patient population. Minimum Requirements Education Bachelor's Degree - Nursing Experience 5-10 years Supervisor Experience 2-5 years Licenses & Certifications RN / LCSW Preferred Requirements Education Bachelor's Degree - Nursing Master's Degree Experience 10+ years Supervisor Experience 5-10 years Licenses & Certifications RN Benefits and Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Pension Plan* / 403(b) Plan funded by BJC 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to www.

bjctotalrewards.com / Benefits *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position.

It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

Equal Opportunity Employer Qualifications

Role Purpose Responsible for the management direction and coordination of Case Management, components of the Care Coordination Department.

Plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies.

May be responsible for per-certification and social services. Responsibilities Manages designated aspects of the case coordination, precertification, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability.

Manages individual(s) including but not limited to : hires, trains, assigns work, manages & evaluates performance, conducts professional development plans.

Ensures that the productivity and actions of that group meet / support the overall operational goals of the department as established by department leadership.

Develops and adheres to departmental staffing, revenue and / or expense budgets. Responds to changes in the business which may affect the ability to achieve the budgets goals, grant expectations.

Makes adjustments in programs to support the needs of the target patient population. Minimum Requirements Education Bachelor's Degree - Nursing Experience 5-10 years Supervisor Experience 2-5 years Licenses & Certifications RN / LCSW Preferred Requirements Education Bachelor's Degree - Nursing Master's Degree Experience 10+ years Supervisor Experience 5-10 years Licenses & Certifications RN

Responsibilities

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.

S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals.

Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The CM Services reports through the division of Patient Care Services lead by the Chief Nursing Executive, Vice President of Patient Care Services.

The CM Service is comprised of three departments : Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, the objectives of the CM Services are for all patients to have access to healthcare through the BJH continuum and appropriate, safe discharge plans.

The SW department is open 24 hours / day while the CM department is open 20 hours / day. Both departments provide coverage throughout the hospital including the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management.

The Service employs registered nurses, social workers, a license practical nurse, a customer service representative, and administrative assistants.