Manager Case Management

HCA Healthcare•Atlantis, FL

5d•Onsite

About The Position

The Manager for Case Management Services reports to the Case Management Director and promotes patient-centered care by coordinating hospital-based case management for an assigned area in alignment with department goals. The role oversees the day-to-day case management program, including coordination, supervision, and administrative oversight of the team. The Manager serves as a clinical practitioner, subject-matter expert, resource, advisor, and leader, and ensures effective care coordination and case management practices comply with hospital policies and applicable regulations and guidelines. The Manager supports staff development and competency, monitors the quality of patient and team interactions and documentation, and collaborates with physicians, nurses, and other members of the interdisciplinary care team to support timely, appropriate patient management. The Manager assumes departmental responsibilities in the Director’s absence and performs other assigned duties.

Requirements

Bachelor’s degree in Nursing or Master of Social Work required.
At least 3 years of clinical nursing experience required.
At least 2 years of case management experience required.

Nice To Haves

InterQual experience preferred.

Responsibilities

Serve as a role model and clinical resource for staff.
Supervise staff, facilitate their development, and oversee day-to-day departmental tasks and activities.
Ensure staff are competent in using InterQual to progress the plan of care.
Collaborate and communicate with physicians, nurses, and other interdisciplinary care team members to support timely, appropriate patient management.
Monitor the quality of case management interactions by regularly shadowing staff and checking adherence to department processes.
Monitor the quality of case managers’ documentation and assessments through regular audits.
Participate in clinical performance improvement activities.
Communicate effectively with patients, families, medical staff, care team members, students, supervisors, and outside contacts.
Assume responsibility for the department in the Director’s absence.
Manage department scheduling and staffing.
Oversee department education and competencies.
Complete daily, weekly, and monthly reports as assigned by the Director of Case Management.
Cover staff assignments as needed.
Identify ways to control costs without compromising patient safety, care quality, or services.
Follow policies, procedures, and standards of care, and promptly escalate issues through the established chain of command.
Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
Advocate for patients’ rights, needs, and values, ensuring their ethnic, cultural, and religious values, beliefs, preferences, and needs are considered.
Perform other duties as assigned and adhere to the Code of Conduct and Mission and Value Statement.

Benefits

Comprehensive medical coverage, including prescription drug and behavioral health coverage, free telemedicine, and free AirMed medical transportation.
Dental and vision benefits.
Life and disability coverage.
Flexible spending accounts and supplemental health protection plans.
Auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, and pet insurance.
Free counseling services and emotional, physical, and financial wellbeing resources.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
Fertility and family-building benefits and adoption assistance.
Referral services for child, elder, and pet care, home and auto repair, and event planning.
Consumer discounts.
Retirement readiness, rollover assistance, and preferred banking partnerships.
Education assistance, including tuition, student loan, and certification support and dependent scholarships.
Colleague recognition program.
Paid time off, paid family leave, disability coverage, and leaves of absence.
Employee Health Assistance Fund offering free employee-only coverage to eligible full-time and part-time colleagues based on income.
Position may be eligible for a sign-on bonus.