Manager of Case Management

Job Summary

Manages and coordinates administrative functions within an assigned office or division. Responsible for the leadership and operational management related to, but not limited to; utilization review process, discharge planning, chart completeness, governmental regulations, and rules.

As a Manager at Owensboro Health, you lead daily operations and team performance within your assigned unit or department. You champion our Safety Culture and foster continuous improvement and Target Zero performance. You are responsible for implementing policies, managing workflows, and supporting staff development. You play a critical role in advancing patient safety, reducing harm, achieving departmental goals and promoting a just culture through hands-on leadership and proactive problem-solving.

Job Responsibilities

• Assists with developing specific department goals, standards, and objectives which directly support the strategic plan and vision of the organization.

• Manages staff relations including performance management, staff satisfaction, and conflict management.

• Performs and oversees scheduling, recruitment, and payroll.

• Monitors department budgets, regulatory compliance, departmental contracts, and vendor relations.

• Determines and justifies needs for systems, equipment, supply purchases, monitors usage, and oversees proper working order and/or stock supplies.

• Supports special projects and business analysis as requested.

• Responsible for Medicare, Medicaid, and insurance rules, regulations, and compliance.

• Collaborates with Auditing, Business Office, and Administration regarding final billing process and chart integrity.

• Understands rules and regulations regarding abuse/neglect and effective communication.

Leadership Responsibilities:

• Performance Management - Accountable for the performance and results of the team applying knowledge of key business drivers and the factors that maximize departmental performance.

• Team Building and Development – Builds and fosters a positive team culture, identifying individual strengths and providing opportunities for growth. Develops departmental plans, to address department and organizational priorities.

• Resource Management – Effectively allocates resources, manages budgets, and optimizes team productivity.

• Decision Making - Identifies and solves complex, operational and organizational problems leveraging the appropriate resources within or outside the department.

• Communication – Clearly communicates goals, expectations, and updates the team using active listening and promoting open communication channels.

• Conflict Resolution - Identifies and addresses conflicts within the team, facilitating constructive dialogue, and finding solutions to disagreements. 

• Change Management - Leads and adapts to organizational changes, communicating effectively during transitions, and engages the team in the process.

• Leadership Development – Actively engages in the Leadership Development Program by enrolling in the program within the first 6 months of employment and completing the program within the first 2 years of employment.  

• Workforce Safety Statement - Prioritizes the physical and psychological safety of the workforce as a foundational element of high-reliability care. Ensure goals are established with effective monitoring and reporting to improve workforce safety and wellbeing. Promotes safe staffing, supports resilience, and ensures that every team member has the tools, training, and environment needed to perform at their best.

Skills and Attributes:

• Decisive decision making

• Change management

• Effective communication skills

• Problem solving

• Leadership and delegation

• Budget management

Position Requirements:

Work Experience

• A minimum of 4 years' relevant experience required

 Education

• Bachelor's degree or higher in Nursing or Social Work required upon hire

Licensure/Certification/Registration

• RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky OR

• LSW - Licensed Social Worker in the State of Kentucky OR

• LCSW - Licensed Clinical Social Worker in the State of Kentucky OR

• CSW - Certified Social Worker in the State of Kentucky required upon hire

Organizational Responsibilities:

• Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests.  Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.

Additional Job Information:

• This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description. 

• The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.

Standard ADA Settings:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: (Office Environment)

Standing: 75%

Walking: 75%

Sitting: 50%

Lifting 0-25 lbs: 25%

Lifting 25-75 lbs: 25%

Lifting over 75 lbs: 25%

Carrying 0-25 lbs: 25%

Carrying 25-75 lbs: 25%

Carrying over 75 lbs: 25%

Pushing/Pulling 0-25 lbs: 75%

Pushing/Pulling 25-75 lbs: 50%

Pushing/Pulling over 75 lbs: 50%

Climbing: 50%

Bending/Stooping: 75%

Kneeling: 50%

Crouching/Crawling: 50%

Reaching: 75%

Talking: 75%

Hearing: 75%

Repetitive Foot/Leg Movements: 25%

Repetitive Hand/Arm Movements: 75%

Keyboard Data Entry: 75%

Running: 25%

Vision: Depth Perception: 75%

Vision: Distinguish Color: 75%

Vision: Seeing Far: 75%

Vision: Seeing Near: 75%

Hazardous Drug Risk Exposure: 

Risk Level:  Low-Risk

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.