Manager Care Coordination Full time Days

Northwestern Memorial Healthcare•Geneva, IL

About The Position

The Manager Care Coordination reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Manager of Care Coordination provides autonomous and direct management, coordination, and monitoring of the Care Coordination Team to ensure efficient and effective functioning and performance. This leader will develop innovative and proactive processes to facilitate appropriate, timely, and seamless patient care across the healthcare continuum, in order to achieve optimal clinical and patient experience outcomes. The Manager will also ensure appropriate and efficient utilization of services and resources. The manager will demonstrate expertise in clinical pathways, counseling, evidence-based practice, empathy, staff and patient advocacy, discharge planning services, professionalism, leadership abilities, anddevelopment of processes/policies while working autonomously to make critical decisions pertaining to the management of the care coordination team. The individual in this position will provide leadership for Social Services, Care Coordination Total Joint Navigator, and Bundled Payment for Care Improvement teams, yet is not limited by the aforementioned. The Manager of Care Coordination will oversee supervisors and additional leadership within care coordination.

Requirements

Masters Degree in a Human Services related field or Bachelors Degree in Nursing.
Licensed Clinical Professional Counselor (LCPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Doctor of Psychology (Psy. D.), or Registered Nurse (RN) licensure required.
AHA BLS Provider Certification
Minimum of 3 years of nursing or behavioral health. Acute care setting preferred.
Physical ability to perform functional requirements as detailed.
Meets all Case Manager/Social Services competencies.
Minimum of 3 years of supervisory or management experience.
Exudes confidence, professionalism, and optimism when leading others in the workplace.
Knowledge of local psychosocial and community resources with strong relationship skillset
Effective communication, collaboration, computer, and organizational skills.
Knowledge of Joint Commission standards, as well as all Federal, State, and regulatory governing bodies requirements.

Nice To Haves

Knowledge of insurance guidelines, CMS requirements, and other payor source requirements.

Responsibilities

Manage day-to-day operations of the Social Services Team. Coordinates workflow and staffing in the department, including re-direction of resources to critical areas dictated by circumstances and staffing patterns. Reviews and approves/denies staff time-off requests based on departmental needs.
Maintains responsibility for the outcomes and operations of the above-mentioned teams.
Develops and monitors annual department capital and operating budgets. Also reviews monthly budget expenses and provides explanations for variances.
Provides leadership guided by the servant leader philosophy to all direct reports. Provides support, guidance, and supervision to team members by problem solving complex situations that involve practice issues and customer relations.
Ensures the Case Management Team maintains competencies in addressing behavioral, social, financial, and environmental issues, in order to achieve optimum clinical quality, patient satisfaction, and cost effectiveness of care and support throughout initiatives.
Provides support to Supervisor of Case Management when addressing performance concerns, providing disciplinary action, and participating in other crucial conversations, including Associate termination.
Collaborates effectively with multidisciplinary team to create and lead initiatives designed to comply with the changing landscape of healthcare and enhancing the System's move toward value based purchasing.
Prepares and performs annual and mid-year performance evaluations of the Supervisor of Case Management.
Reviews, approves, and supports Supervisor of Case Management during mid-year and annual performance evaluation process.
Educates the multidisciplinary team and other department leaders on delays in throughput, resource utilization, process breakdown, and care enhancement.
Creates department goals in collaboration with leadership, Manager of Utilization Review and Supervisor of Case Management. Maintains responsibility for departmental outcomes.
Ensures department policies and processes meet current standards of the Joint Commission, as well as all federal, state, and regulatory governing bodies.
Revise and/or create new policies and processes as needed to meet the changing landscape of healthcare as well as to meet the unique needs of the community.
Manages technology needs of the team including the submission of IT requests to appropriate parties, identification of needs, and areas of improvement.
Works in collaboration with the Supervisor of Case Management to develop agendas and facilitate team meetings.
Maintains open communication with leadership and keeps leadership apprised of important issues and concerns that arise on the team.
Works in consistent collaboration with the Manager of Utilization Review to maintain efficient and seamless processes of the Care Coordination Department as a whole.
Develops a highly effective team in a matrix environment, collaborating with leaders and physicians to support efficient service lines and business initiatives.
Evaluates the effectiveness of team and organizational outcomes and leads performance improvement efforts following an established performance improvement method. Works collaboratively with stakeholders to identify opportunities for improvement and implement best-practice solutions in areas such as patient, physician, and staff satisfaction, clinical outcomes, and financial performance. Facilitates gathering, analyzing, and presenting data to monitor outcomes.
Integrates Northwestern Medicine Health System mission, vision and values with staff, providers, patients and visitors.
Identification of population served by this position: This position requires knowledge of the principles of growth and development over the life span and the ability to assess data reflective of the patients status. Includes being able to interpret the appropriate information needed to identify each patient's requirements relative to the patient's age-specific needs.
This position actively maintains confidentiality for patients and their families, as outlined in the Northwestern Medicine Health System Patient Confidentiality policy
Performs other duties as assigned