Manager Care Management

Corewell Health • Dearborn, MI

2d • Onsite

About The Position

Looking for an experienced leader to join our Dearborn Inpatient Care Management team. Under the direction of the Care Management Sr. Director, the Manager, Care Management is responsible for coordination of all activities in one or more of the key functions in the Inpatient Care Management Department at Corewell Health Dearborn Hospital. Works collaboratively with multiple disciplines to expedite care coordination functions in assigned areas. Responsibilities include all staff in assigned areas (RN Care Coordinators, Social Workers, support staff). Reports to the Care Management Sr. Director. Essential Functions Guides staff and works to create and maintain efficient and effective processes to manage the operations of the designated areas within the department. Participates in, oversees, and assumes responsibility for the development of goals within assigned areas of responsibilities which are congruent with and support Beaumont Health strategic goals. Works collaboratively with Revenue Cycle and Managed Care Contracting to communicate and understand payer requirements, to optimize payment coordination, and to develop processes and systems to promote timely reimbursement for services rendered to patients. Interviews, hires, disciplines, evaluates, and manages all direct reports. Conducts staff meetings and other forms of communications with staff to maintain standards and consistency within the department. Provides input into the department policies, procedures, objectives, and budget related to area of responsibility that promote organizational and departmental objectives. Problem solves and intervenes with physician, nursing staff, and other ancillary staff to facilitate patient care and resolves barriers to care management functions. Collaborates and coaches staff regarding complex cases, extended length of stay, and payer concerns to provide appropriate direction and follow up. Special projects/presentations as indicated. Representative/liaison for department/hospital within the community.

Requirements

• Bachelor's Degree in Nursing: or Masters Degree in Social Work or health care related field
• 5 years of relevant experience in nursing or social work
• 3 years of relevant experience in acute care management
• LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required
• Or LIC-Master Social Worker (MSW-Master) - STATE_MI State of Michigan Upon Hire required

Nice To Haves

• CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire

Responsibilities

• Guides staff and works to create and maintain efficient and effective processes to manage the operations of the designated areas within the department.
• Participates in, oversees, and assumes responsibility for the development of goals within assigned areas of responsibilities which are congruent with and support Beaumont Health strategic goals.
• Works collaboratively with Revenue Cycle and Managed Care Contracting to communicate and understand payer requirements, to optimize payment coordination, and to develop processes and systems to promote timely reimbursement for services rendered to patients.
• Interviews, hires, disciplines, evaluates, and manages all direct reports.
• Conducts staff meetings and other forms of communications with staff to maintain standards and consistency within the department.
• Provides input into the department policies, procedures, objectives, and budget related to area of responsibility that promote organizational and departmental objectives.
• Problem solves and intervenes with physician, nursing staff, and other ancillary staff to facilitate patient care and resolves barriers to care management functions.
• Collaborates and coaches staff regarding complex cases, extended length of stay, and payer concerns to provide appropriate direction and follow up.
• Special projects/presentations as indicated.
• Representative/liaison for department/hospital within the community.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

What This Job Offers

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