Manager - Care Management - Monroe

Ochsner Health•Monroe, LA

2d•Onsite

About The Position

This job provides leadership for the case/care management team. This job collaborates with case managers and ancillary service personnel to ensure quality, evidence based care management resources are used to improve the overall quality for patients. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Requirements

Registered Nurse Diploma OR Master's Degree in Social Work
3 years experience in Case Management/Care Management (Disease Management) or Utilization Management.
Current State of Louisiana Registered Nurse License OR Licensed Master Social Worker (LMSW)
Must have computer skills and be proficient with Windows-style applications, various software packages specific to role.
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
Must have strong leadership and delegation skills including being able to manage and develop a team.
Must have strong organizational and time management skills.
Skills to work efficiently under pressure and set priorities required.

Nice To Haves

Certification in Certified Case Manager (CCM) or equivalent

Responsibilities

Manages the daily operations of the department by maintaining appropriate staffing levels and assignments to meet the needs of the department.
Develops a team who communicates closely with Primary Care Physicians to establish a coordinated effort in achieving health improvement goals.
Establishes and promotes relations with clinical team members, physician advisors and individual physicians to promote effective quality health care through evidence-based care, effective discharge planning, efficient care coordination, safe transition of care, and quality measures and clinical documentation.
Researches, selects and promotes adaptation of best practice finding to ensure quality patient care and optimal outcomes. Reviews data and identifies process improvements to remove barriers and ensure the success of the care managers.
Assesses and interprets Payor/Partner needs using pertinent facts and data to solve a range of complex problems. Meets the plan objectives outlined by Payor/Partners.
Interviews, trains, motivate, evaluations, and monitors staff performance.
Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.