Clinical Case Management Manager
About The Position
The Clinical Case Management Manager is responsible for the daily operational management of the Case Management teams at The University of Kansas Hospital, including staff orientation and ongoing development. Under the direction of the Director of Case Management or Director of Continuum of Care and in collaboration with the hospital leadership team, the manager plans, directs, and oversees Case Management/Continuum of Care. The role works with physicians, nursing and ancillary staff, interdisciplinary teams, leadership, and other stakeholders to coordinate care and improve its quality, efficiency, effectiveness, and patient, physician, and payer satisfaction. The manager must be able to perform the professional, clinical, and/or technical competencies of the assigned unit or department. Duties may vary by department or unit, and other duties may be assigned.
Requirements
- Bachelor’s degree in Nursing or Master of Social Work.
- At least 5 years of clinical nursing or healthcare experience.
- At least 2 years of case management or care coordination experience.
- Licensed Master Social Worker (LMSW) or Licensed Registered Nurse (LRN), Multi-State, upon hire.
- Basic Cardiac Life Support (BLS or BCLS) certification from the American Heart Association.
- Ability to perform the professional, clinical, and/or technical competencies of the assigned unit or department.
Nice To Haves
- Master’s degree in Nursing.
- Managed care experience.
- Nursing Case Management Certification (CMGT-BC) from the American Nurses Credentialing Center.
Responsibilities
- Advocate for the protections and rights of individuals, families, communities, and populations, and support individuals’ involvement in their care and access to their personal health information.
- Demonstrate advocacy skills with providers, public representatives, decision makers, and other stakeholders while exercising fiscal responsibility and integrity.
- Maintain current professional knowledge and competency through experience, independent learning, professional records, and use of current research and evidence.
- Collaborate and coordinate with physicians and department management to deliver coordinated care consistent with hospital and nursing department practice standards.
- Design, implement, and evaluate improvements that help eliminate barriers to efficient care delivery.
- Collaborate with nursing and ancillary staff, interdisciplinary teams, leadership, and other stakeholders.
- Apply knowledge of Medicare and Medicaid regulations and admission and continued-stay medical necessity criteria.
- Work with physician leadership to strengthen physician involvement in discharge planning.
- Develop and recommend policies, procedures, programs, and processes to improve outcomes, quality, efficiency, effectiveness, and patient, physician, and payer satisfaction.
- Evaluate practice against professional standards, guidelines, statutes, rules, and regulations; obtain feedback and take action to meet identified goals.
- Integrate ethical provisions into all areas of practice.
- Contribute to peers’ and colleagues’ professional development by sharing knowledge and skills.
- Manage daily Case Management team operations, including orientation and ongoing staff development, and oversee Case Management/Continuum of Care.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
