Manager, Case Management

Cape Cod Healthcare•Falmouth, MA

15h

About The Position

The Manager, Case Management oversees the day-to-day management of case management and social services staff and workflows, including scheduling and performance evaluations. The role rounds regularly on patient units to identify problem areas and support discharge planning. It develops and delivers continuing education and program education for Clinical Resources Management staff and other clinical professionals on role functions, new processes, discharge planning, and utilization review. The manager tracks and trends program compliance, analyzes metrics, develops dashboards, and implements process-improvement activities. The role mentors and coaches collaborative practice among physicians, nurses, and the clinical resource team; stays current with regulatory changes; represents the department on committees and chairs them as appropriate; and provides coverage for the CCH Manager of Case Management. It also identifies opportunities to improve current practices and presents recommendations and solutions to management, supporting the organization’s culture of continuous improvement and CCHC Pillars of Excellence.

Requirements

Bachelor-level degree in Nursing.
Current Massachusetts Registered Nurse license.
At least 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 the day-to-day activities of case management and social services staff and workflows, including scheduling and performance evaluations.
Round regularly on patient units to identify problem areas and assist with facilitating the discharge process.
Develop and complete 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, Case Managers, Trainee program hires, social workers, physicians, nurses, and allied health professionals on discharge planning and utilization review.
Track and trend Clinical Resource Management program compliance, create dashboards to identify improvement opportunities, and implement 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 the systems used in the departments.
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 working 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.