Manager - Care Management - Maryview Medical Center

Bon Secours Mercy Health • Portsmouth, VA

79d

About The Position

The Manager, Care Management is responsible for day-to-day oversight, coordinating, organizing and managing functions and resources for the Care Management Department. This role collaborates and coordinates with Care Management Leadership and colleagues to achieve standardization of assigned functions and responsibilities. This role combines the clinical and the financial components to achieve the best possible outcomes for the patients served and the organization.

Requirements

• Bachelor of Science Nursing or Social Work (required)
• 3 years of recent acute hospital care management experience (required)

Nice To Haves

• Masters, Nursing, Social Work, or Healthcare Administration (preferred for BSMH, required for RSFH)

Responsibilities

• Provides leadership and oversees day-to-day operations to Care Management Team.
• Works with Care Management leadership and colleagues to achieve standardized practices and processes related to Advance Care Planning, Length of Stay (LOS) management, readmission prevention, use of predictive readmission tool and application of appropriate interventions.
• Monitors success through qualitative and quantitative data and takes appropriate action to mitigate barriers and improve outcomes.
• Advocates and educates regarding right care, right time at the right place.
• Provides education to care management staff, physicians and nursing, other care teams members regarding effective progression of care, Level of Care (LOC), and safe and timely transition management.
• Supports national standards for care management scope of service: Education, Care Coordination, Compliance, Transition Management and Resource Utilization.
• Utilizes systems within the Care Management Department to support an effective and proactive care management process across the continuum.
• Collaborates with ambulatory and post-acute providers and staff to ensure seamless transitions of care.
• Partners with physician leader to optimize the Utilization Management Committee, providing actionable data related to utilization opportunities identified through qualitative data and quantitative data analytic platforms.
• Directs daily operations to achieve effective utilization of personnel resources consistent with patient and ministry needs.
• Assists in development of annual departmental goals and objectives, aligns with system Care Management goals and objectives.
• Participates in the development and management of the annual budget.
• Identifies and achieves cost reductions.

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree