Care Coordination Manager--Onsite

Wellstar Health System•Marietta, GA

7h•Onsite

About The Position

The Care Coordination Manager provides hospital-level leadership and manages the operational processes of the Care Coordination Department. The role implements evidence-based practice standards, ensures compliance with system policies and regulatory requirements, and maintains and improves care coordination quality. The manager monitors team engagement and patient and family advocacy, and works with the Director on timely reporting and financial and strategic performance initiatives. The manager oversees discharge assessment and planning from admission through discharge; develops and maintains evidence-based care coordination workflows and care paths; analyzes outcomes and monitors adherence to protocols; and collaborates with clinical departments, physicians, senior leadership, payors, and the System Care Coordination team. The role supports patient transitions, staff education and development, performance improvement, regulatory compliance, and departmental financial and operational goals.

Requirements

Minimum five years of recent care coordination experience in a hospital setting.
Minimum two years of recent experience managing multidisciplinary staff in care coordination.
Required education: Master of Social Work, Bachelor of Nursing, or Master of Nursing; a Master of Social Work or Bachelor of Nursing is preferred.
Required license: Georgia Licensed Clinical Social Worker (LCSW), Georgia Licensed Master Social Worker (LMSW), Registered Nurse (RN) single-state license, or RN multistate compact license.
Required BLS certification: Basic Life Support, American Red Cross Basic Life Support, or Basic Life Support Instructor.
Required Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification.
Certification in Care Management by a national accrediting body is required.
Strong interpersonal skills to facilitate team dynamics.
Strong verbal and written communication skills.
Time management, facilitative leadership, prioritization, and change management skills to focus on system goal achievement.

Nice To Haves

Master of Social Work or Bachelor of Nursing education is preferred.

Responsibilities

Oversee team members’ discharge assessment and planning work from admission through discharge.
Assist the Director with implementation and coordination of the Hospital Length of Stay Committee.
Develop and maintain evidence-based care coordination standard work, order sets, and care paths, updating them annually.
Analyze and interpret care coordination outcome data, make recommendations, monitor adherence to standard work, track variances, and report findings.
Serve as a liaison to hospital clinical departments by sharing care coordination outcome feedback and analyzing department performance against established goals.
Ensure compliance with CMS and commercial payor standards, specialty contract requirements, and timely submission of intra-cycle reports.
Promote a positive environment for patients, families, staff, and the community; respond to inquiries and complaints in a timely and effective manner.
Support teamwork and employee morale, develop measurable team goals, monitor progress, and keep staff informed of goal achievement.
Use department metrics to direct clinical practice, patient and staff satisfaction, physician relations, and customer service improvement initiatives.
Maintain a safe, therapeutic care environment and apply care coordination best practices while supporting cost-effective utilization.
Review and update department and program standards, policies, and procedures to maintain compliance and reflect current practices.
Oversee daily program operations and collaborate with physicians and senior leadership to adapt patient care processes and transitions to patient and family needs.
Assess and evaluate clinical practices and the quality of services delivered within the program.
Ensure staff collaboration in discharge planning and patient and family education to support cost-effective care in appropriate settings.
Provide expert support for complex or specialized patient care situations and consult with healthcare providers, ancillary services, patients, and significant others to identify care needs.
Participate in developing and maintaining standardized care coordination education materials and serve as a practice resource for team members.
Maintain professional competency, develop skills, and maintain specialty certification; identify performance improvement opportunities, analyze data, and facilitate action plans.
Assist with operational and capital budget development and implementation, establish productivity measures, and support achievement of program and team goals.
Maintain FTE, salary, and expense budgets at or below budgeted levels and review data related to budget variances.
Coordinate with System Care Coordination and the Hospital Director on regulatory standards, compliance, and contractual guidelines; help develop and implement professional standards and monitor staff compliance.
Perform other duties as assigned and comply with Wellstar Health System policies, standards of work, and code of conduct.