Manager Care Management

Position Summary: Provides overall technical direction and administration to case management personnel, ensuring services are provided efficiently and effectively.  Regularly reviews and revises, as necessary, relevant standards and ensures services performed comply with all hospital, system, and regulatory agency standards.  Coordinates provision of services with other nursing and medical functions and serves as technical resource for departmental personnel. As an expert in the assigned area, is a resource person to both staff and physicians. Oversees, guides, and mentors the entire team to ensure patients (a) receive the right level of care at the right time predictably and (b) requiring referral care and/or services receive them in a timely manner.

Essential Functions and Responsibilities:

1. Plans and administers directly, and through subordinate supervisory personnel, the effective management and delivery of case management services in accordance with all hospital, system, and regulatory agency standards.
2. Assists with ensuring quality, financial, and customer service objectives are met.
3. Assists with developing and administering capital and operating budgets in order to meet agreed-upon departmental goals and objectives.  Implements appropriate methods to monitor adherence to budgets and resolve variances.
4. Serves as technical resource to subordinates in resolving complex problems and in investigating and recommending corrective actions in response to incident reports and/or patient complaints.
5. Assists with recommendations for new supplies and minor equipment purchases.
6. Fosters smoothly running case management services and processes through timely and effective resolution of disruptions.

Qualifications:

Required:

·         Bachelor’s degree in nursing or health-related field from accredited educational institution

·         State licensure as a Registered Nurse (RN)

·         Four years of professional experience in RN patient care and case management.

Preferred: 

• Master's degree in business or a health-related field
• Two years of experience in supervision

• BLS certification  

   

   

  #LI-ME1