Manager Care Management Registered Nurse RN Winter Garden

AdventHealth•Winter Garden, FL

47d•Onsite

About The Position

The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision of team members. The Care Management Manager is responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management Manager supports professional and collaborative relationships with the Interdisciplinary Team to sustain process improvement and attain hospital metrics.

Requirements

Bachelor's in nursing (BSN) [Required]
1 leadership experience [Required]
1 related work experience [Required]

Nice To Haves

3 care management experience [Preferred]
1 CM leadership experience [Preferred]
Accredited Case Manager (ACM) [Preferred]
Certified Case Manager [Preferred]

Responsibilities

Supports the daily operations of the Care Management department (both Inpatient and Emergency Department settings). Implements Corporate Care Management strategies, Implements strategies with a focus on customer experience. Ensures documentation compliance of the Care Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc.). Identifies and utilizes resources to support information sharing amongst staff
Actively participates in daily Multidisciplinary Rounds ensuring staff participation on their assigned units to discuss transition of the patient to the post-acute setting and barriers to the plan. Assures staff documentation is completed per guidelines as evidenced by appropriate monitoring techniques, coaches staff as needed. Assures patients are routinely assessed for post-hospital needs and documentation occurs within 1 calendar day of patient admission, Advocates and escalates pace of care delays
Assures discharge plans are developed in collaboration with patient, family caregivers, care team and payor. Assures effective discharge planning to meet patient needs, meet regulatory requirements and achieve organization objectives related to readmission reduction. Supports implementation of processes as directed by system for identification of at-risk populations and acquires necessary resources/services to improve patients' chances of successful self-management.
Seeks opportunities for improvement in quality of care/services. Reports pertinent quality/risk issues to appropriate individuals, departments and/or committees in a timely manner. Participates on performance improvement teams as appropriate. Monitors and documents activities ongoing to substantiate the effectiveness of care management activities to achieve compliance with external agencies
Assists in the development and oversees the implementation of Care Management policies, procedures, and standards. Plans, organizes, and delegates activities as required for safe, efficient and effective operations of the unit/area including active participation with other hospital and leadership staff to accomplish this purpose. Holds regular staff meetings and encourages staff to share information and participate in decision making. Maintains excellent professional relationships with facility and divisional leadership. Communicates and collaborates across the Care Management team in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services
Monitors and meets productivity standards and staffing needs. Fosters a work environment favorable to retaining staff. Responsible for personnel functions including staffing, performance reviews and corrective action. Promotes professional growth and development of employees. Maintains a predictable schedule, including time on and off shifts such as weekends and holidays. Maintains collegial relationships with staff, physicians, and other departments. Maintains open communication with staff. Hires and retains individuals with appropriate skills and works to develop staff to their highest potential