Case Management Manager

Tenet Healthcare • Detroit, MI

16h • Onsite

About The Position

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Harper University/Hutzel Women's Hospital, we’re seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

Requirements

• Graduate from an accredited school of Nursing. Bachelors degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience.
• Three to five years clinical nursing experience.
• Two years experience in utilization management, case management or discharge planning in an acute care setting.
• Two years of management experience in an acute care setting.
• License to practice as a Registered Nurse in the State of Michigan.

Nice To Haves

• Masters degree preferred.
• Previous experience with the targeted patient population is preferred.
• Case Management certification strongly preferred.

Responsibilities

• Provides management and operational oversight for the Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in collaboration with hospital and system leadership.
• Ensures consistent and coordinated delivery of all assigned processes within the hospital.
• Manages day to day operations of department to ensure hospital objectives are accomplished.
• Develops and implements education and orientation programs for personnel.
• Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals and objectives; modifies procedures/protocols as necessary.
• Monitors the quality and productivity of staff to ensure work is completed.
• Approves personnel actions such as hires, fires, disciplines, etc.
• Completes performance appraisals and ensures competency of staff.
• Assists in the development of daily, monthly and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment.
• Assists in developing and monitoring budget.
• Develops current to intermediate goals and measures for the department.
• Maintains accountability for patient coverage and related activities among assigned staff members.
• Maintains accountability for third party payer communications for discharge planning and decision-making.
• Monitors activities for and ensures compliance with laws, third party payer requirements, government regulations, Joint Commission requirements pertaining to areas of responsibility.
• As directed, implements external and internal audit recommendations.
• Engages physician advisor to facilitate care decisions, as needed.
• Maintains current knowledge of health care techniques/practices, and case management strategies through educational programs/resources.
• Maintains a working knowledge of the requirements of payers, regulatory and compliance entities.
• Establishes and maintains effective relationships with physicians and all other staff members, internally and externally.
• Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to a high degree of service excellence.
• Effectively turns negative situations into supportive relationships by use of concern, poise, understanding, honesty and tact.
• Promotes a positive customer relations environment.
• Performs other duties and functions as assigned.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager