Manager, Clinical Resource & Case Management

Cape Cod Healthcare•Hyannis, MA

1d•Onsite

About The Position

The Manager, Clinical Resource & Case Management is responsible for the day-to-day management of the case management and social services program staff and workflows, including scheduling and performance evaluations. This role also involves assisting the Manager of Operations with the Clinical Documentation team as needed. The position requires regular rounding on patient units to identify problem areas and facilitate the discharge process. A key aspect of this role is the ongoing development and completion of continuing education programs for Clinical Resources Management staff, focusing on role functions and new process implementation. Additionally, the manager provides program education for new staff, including case managers, trainee program hires, social workers, physicians, nurses, and allied health professionals, specifically concerning discharge planning and utilization review. The role involves tracking and trending Clinical Resource Management program compliance, creating dashboards to identify improvement opportunities, and implementing process improvement activities. The manager will also develop, mentor, and coach continuous improvement in the collaborative practice between physicians, nurses, and the clinical resource team, as well as within the department itself. Analysis and review of program metrics using knowledge of departmental systems are essential. The position requires staying current with regulatory changes in the case management field, challenging current working practices, identifying process improvement opportunities, and presenting recommendations and solutions to management. Engagement and commitment to the organization’s culture of continuous improvement are expected, including active participation, support, and promotion of the CCHC Pillars of Excellence.

Requirements

Bachelor level degree in Nursing required
Current Massachusetts Registered Nurse license
Two years experience in process improvement
Minimum 5 years Case Management experience in an acute setting.
Experience in development and presentation of professional continuing education programs
Knowledge of CMS regulations
Excellent computer skills – familiarity with Windows-based software programs
Organizational, analytical, writing and interpersonal skills

Nice To Haves

Masters Degree preferred
Certification in Case Management or Clinical Documentation Integrity preferred
Management/supervisory experience preferred

Responsibilities

Day to day management of the case management and social services program staff and workflows, including scheduling and performance evaluations.
Assists the Manager of Operations with the Clinical Documentation team where necessary.
Rounds on patient units on a regular basis to identify problem areas and assist in the facilitation of the discharge process.
Ongoing development and completion of continuing education programs for Clinical Resources Management staff, including case managers and social workers specifically related to role functions and implementation of new processes.
Provides ongoing program education for new staff, including new Case Managers, the Trainee program hires, social workers, physicians, nurses and allied health professionals as it relates to discharge planning and utilization review.
Tracks and trends Clinical Resource Management program compliance.
Creates a dashboard to see where opportunities for improvement are and implements process improvement activities around areas identified.
Develop, mentor and coach continual improvement in the collaborative practice between physicians, nurses and clinical resource team, and within the clinical resource department itself.
Analysis and review of program metrics using working knowledge of the systems used in the departments.
Stays current with regulatory changes in the case management field.
Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management.
Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.