Lead Patient Care Manager - Full Time Day Shift - Traverse City, MI

Munson Healthcare • Traverse City, MI

22h • Onsite

About The Position

The lead case manager provides direct supervision to Case Management personnel, promotes the progression-of-care, and monitors the patient's progress to ensure that the plan of care and services provided are patient-focused, high quality, evidence-based, appropriate to patient needs, efficient, and cost-effective. Works closely with the entire team to educate and facilitate communications relating to payer and reimbursement requirements and methodologies.

Requirements

• A Bachelor’s degree in a clinical healthcare discipline such as nursing, medicine, social work, respiratory or physical therapy, or other related allied health field. Comparable experience will be considered in lieu of a bachelor’s degree.
• Five years’ experience in an acute care hospital and knowledge of hospital operations.
• Two years current case management experience required.
• Licensed as a registered nurse, social worker or other healthcare discipline.
• If Registered Nurse, must be licensed to practice in Michigan.
• Knowledge of Case Management Society of America’s case management standards of practice.
• Strong communication and interpersonal skills.
• Leadership skills.
• Negotiation skills.
• Good leadership talent.
• Demonstrates exceptional professional role model behavior that supports initiatives in a positive and consistent manner.
• Strong organizational and follow-up skills.
• Assertive and effective interpersonal skills.
• Demonstrable understanding of customer expectations.
• Clear understanding of relationship marketing.
• Demonstrates ability to organize, identify, change priorities and be flexible.
• Demonstrates ability to lead/direct others through positive role modeling, honesty, integrity, direct communication, inspiration, and holding self-accountable.
• Demonstrates participation in organizational and/or unit-based process improvements initiatives.

Nice To Haves

• ACM or CCM certification preferred.
• For those hired into this job after January 1, 2015, it is required to obtain a BSN within 5 years of start date.
• Eligible to sit for, and successfully pass, the test for certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM) within 2 years of employment.

Responsibilities

• Provides direct supervision to Case Management personnel.
• Promotes the progression-of-care.
• Monitors patient progress to ensure the plan of care and services are patient-focused, high quality, evidence-based, appropriate to patient needs, efficient, and cost-effective.
• Educates and facilitates communications relating to payer and reimbursement requirements and methodologies.
• Coordinates day-to-day operations of assigned areas within the Case Management program.
• Works collaboratively and effectively with all members of the specialty team, including care providers and staff.
• Serves as a liaison with other departments/units within the hospital.
• Supports the Mission, Vision and Values of Munson Healthcare.
• Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
• Promotes personal and patient safety.
• Understands Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
• Uses effective customer service/interpersonal skills at all times.
• Conducts daily huddles with the Case Management (CM) team to discuss ongoing challenges.
• Maintains a knowledge base of all insurance reimbursement criteria.
• Maintains knowledge of managed care contracts.
• Collaborates with nursing, infection control, risk management, and quality improvement through case monitoring.
• Collaborates with the business office to ensure accurate and complete registration information is captured and communicated to case managers.
• Consults with members of the access center to develop preliminary treatment plans in conjunction with attending physician requests and insurer expectations.
• Observes interactions between individual case managers and patients, families, and physicians and provides positive feedback or constructive advice.
• Consults regularly with the Program Manager.
• May assist the Program Manager to provide in-service education to patients, hospital staff, and the community.
• Projects a positive image to patients, families, and hospital associates.
• Supervises job performance of case managers and support staff as needed.
• Holds end-of-week team meetings to review lessons learned and to share events.
• In conjunction with support staff, establishes and maintains department productivity reports and data collection procedures.
• Consults with the program director about program budget, process modifications, practices, procedures, and outcomes.
• Participates in weekend and holiday rotation schedules with case managers.
• Participates in community activities as needed.
• Educates, reinforces, and directs staff to consistently identify and report progression of care delays and to proactively intervene to overcome delays whenever possible.
• Performs other duties as required.

Benefits

• Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella.
• MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

What This Job Offers

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