Manager Care Mgmt LSW or RN

Capital Health (US)
•$97,947 - $127,982

About The Position

Under the direction of the Director of Care Management, the Manager oversees the daily operations of the Care Management program, ensuring cost-effective, high-quality transitions of care and appropriate use of resources. The role supports the Director in meeting Capital Health objectives and complying with state, federal, and DNV requirements. The Manager monitors departmental quality, employee and customer satisfaction, and financial targets; collaborates on performance-improvement initiatives; educates physicians and other departments about care management; and mentors, supervises, and evaluates care management staff. The Manager oversees RN and social work care managers and support staff, including staffing, hiring, evaluations, scheduling, and disciplinary matters. The role reviews staff performance and clinical outcomes, supports regulatory compliance, coordinates community discharge programs, and represents care management in system-level meetings and committees. Participation in the on-call rotation is required.

Requirements

  • Master’s degree in Social Work or BSN with coursework in administrative and clinical social work.
  • ACM or CCM certification within one year of hire.
  • Three years of management experience in a hospital health care setting, or five years of Social Work experience and two years of care management/case management experience.
  • Licensed Social Worker credential.
  • If assigned to the listed eligible units or departments, complete four hours of stroke-related continuing education contact hours annually.
  • Skills in negotiation, conflict management, employee relations, team building, staff development, quality and performance improvement, program development, clinical social work intervention, community relations, and community resource development.
  • Knowledge of spreadsheet and word-processing software, case management and patient information systems, and electronic mail.
  • Ability to participate in the on-call rotation.

Responsibilities

  • Manage daily operations of the Care Management program and promote cost-effective, quality transitions of care through appropriate resource utilization.
  • Support the Director in ensuring departmental performance meets Capital Health objectives and applicable state, federal, and DNV requirements.
  • Monitor department indicators and targets for quality, employee satisfaction, customer satisfaction, and financial performance.
  • Collaborate with leadership to implement performance-improvement initiatives.
  • Provide care management education to physicians and other appropriate departments.
  • Mentor, supervise, and evaluate care management staff; assign staff according to skills, customer needs, and regulatory requirements.
  • Supervise RN and social work care managers and support staff, including hiring, performance evaluations, scheduling, and disciplinary actions.
  • Collaborate with care management, hospital staff, managers, and physicians to provide patient social work needs effectively and efficiently.
  • Ensure compliance with DNV standards, NJDOH regulations, the approved Capital Health performance-improvement plan, and HQSI activity; hold the team accountable for outcomes.
  • Develop annual performance measures and review them with employees on an ongoing basis.
  • Review and analyze staff performance and clinical outcomes through chart reviews, weekly length-of-stay meetings, daily rounds, and patient and staff satisfaction information.
  • Ensure an appropriate staffing model is resourced, implemented, and monitored to achieve outcomes.
  • Monitor staff education plans and adapt them to the needs of staff and patients.
  • Coordinate community discharge programs to help reduce length of stay and resource utilization.
  • Participate in system-wide committees and meetings affecting patient care, resource utilization, and program development; represent Care Management and promote working relationships.
  • Use current knowledge of social work, care management, discharge planning, and health care services and systems to improve and expand patient care services and programs.
  • Participate in the on-call rotation.
  • Perform other duties as assigned.

Benefits

  • Medical plan
  • Prescription drug coverage and in-house employee pharmacy
  • Dental plan
  • Vision plan
  • Flexible Spending Account, including healthcare and dependent care FSAs
  • Retirement Savings and Investment Plan
  • Basic group term life and AD&D insurance
  • Supplemental group term life and AD&D insurance
  • Long-term disability benefits
  • Short-term disability benefits
  • Employee Assistance Program
  • Commuter transit benefits
  • Commuter parking benefits
  • Voluntary legal services
  • Voluntary accident, critical illness, and hospital indemnity insurance
  • Voluntary identity theft insurance
  • Voluntary pet insurance
  • Paid Time-Off Program
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