Manager, Case Management

Cape Cod Healthcare•Falmouth, MA

About The Position

The Manager, Case Management oversees the day-to-day management of case management and social services staff and workflows. The role supports discharge planning and utilization review, develops and delivers education for staff and clinical colleagues, monitors program compliance and metrics, and identifies and implements process improvements. The manager also promotes collaboration among physicians, nurses, and the clinical resource team, stays current with regulatory changes, represents the department on committees, and provides coverage for the CCH Manager of Case Management.

Requirements

Bachelor-level degree in Nursing.
Current Massachusetts Registered Nurse license.
Minimum five years of Case Management experience in an acute setting.
Two years of experience in process improvement.
Experience developing and presenting professional continuing education programs.
Knowledge of CMS regulations.
Excellent computer skills and familiarity with Windows-based software programs.
Organizational, analytical, writing, and interpersonal skills.

Nice To Haves

Master’s degree.
Certification in Case Management or Clinical Documentation Integrity.
Management or supervisory experience.

Responsibilities

Manage day-to-day case management and social services staff and workflows, including scheduling and performance evaluations.
Round regularly on patient units to identify problem areas and help facilitate the discharge process.
Develop and deliver continuing education programs for Clinical Resources Management staff, including case managers and social workers, on role functions and new processes.
Provide program education for new staff, trainees, social workers, physicians, nurses, and allied health professionals on discharge planning and utilization review.
Track and trend Clinical Resource Management program compliance, create a dashboard to identify improvement opportunities, and implement related process improvement activities.
Develop, mentor, and coach continual improvement in collaborative practice among physicians, nurses, and the clinical resource team, as well as within the clinical resource department.
Stay current with regulatory changes in case management.
Analyze and review program metrics using working knowledge of departmental systems.
Apply knowledge of organizational policies and procedures.
Identify problems and recommend solutions.
Prepare and maintain records and written reports.
Represent the department on committees and act as chairperson when appropriate.
Provide coverage for the CCH Manager of Case Management.
Challenge current practices, identify process improvement opportunities, and present recommendations and solutions to management.
Actively participate in, support, and promote CCHC Pillars of Excellence and the organization’s culture of continuous improvement.