Manager Of Case Management

DCH Health System•Tuscaloosa, AL

10d

About The Position

The Manager of Case Management provides leadership to and direct oversight of the provision of Case Management services and functions related to the daily operation of the Care Coordination Department and provides direct supervision to RN Case Managers and SW Case Managers.

Requirements

Minimum of 3 to five years clinical experience required in the acute care setting and/or home care preferred
Minimum of three years Care Management experience (utilization management, discharge planning, and care facilitation) required
Ability to establish priorities, meet deadlines, and maintain proper productivity
Ability to exercises independent thinking, judgment, and decision-making and accept accountability and responsibility for decisions and actions.
Ability to problem solve in a proactive, creative manner, using sound judgment based on factual information and clinical knowledge
Excellent leadership skills and supervisory experience required
Ability to lead and actively participate in multidisciplinary teams
Excellent computer skills
Proficiency in MS Office, MS Outlook, and Internet required
Excellent interpersonal skills and communication style
Must have knowledge of Medicare regulatory and compliance issues
Requires use of electronic mail, time and attendance software, learning management software and intranet.

Nice To Haves

SQL database experience preferred
Meditech experience or experience with an electronic medical record preferred.

Responsibilities

Manages departmental budget
Interviews, selects, hires, and retains employees
Ensures orientation and training for employees
Manages performance
Promotes, demotes, or transfers employees to meet organizational needs
Executes progressive discipline up to and including termination
Manages departmental productivity standards
Performs compliance requirements as outlined in the Employee Handbook
Approves payroll and is responsible for accurate payment of employees
Manages front line operations of area of accountability related to meeting/exceeding departmental goals, 5 keys of excellence, and DCH Mission and Vision.
Participates proactively in the goals and objectives of the Case Management Department in reducing medically aberrant LOS, and establishes personal goals to achieve desirable outcomes organizationally.
Analyzes, assesses, and reviews processes to devise create work plans for Case Managers (RNs and SWs) personnel in order to achieve departmental goals
Responsible to create, support, and participate in structures and processes focused on improving length of stay (LOS) and reducing readmissions
Supervises professional and clerical employees who work with a range of functions, including, but not limited to Care Management and facilitation, discharge planning, and clinical social work
Plans, organizes, and schedules employees to ensure appropriate resourcing and caseload distribution to achieve goals of the care management plan
Supports and audits compliance processes associated with the work of care coordination
Implements defined quality improvement and care coordination processes including, but not limited to, ensuring data collection, analysis of data, evaluation of outcomes and report generation
Assists in planning and implementation of opportunities and new ideas to promote the care managers and social workers growth and development
Demonstrates excellent customer service to both internal and external customers through positive communications, cooperation, professional behavior, and displaying by actions that customer satisfaction is the primary goal of this institute
Adapts to constantly changing healthcare environment by recognizing opportunities for improvement and embracing change to bring about improvements
Directs, evaluates, and develops systems and procedures for efficient and effective operations for care management and coordination
Assesses employee competency and identifies the educational needs of care managers as well as the quality of services delivered
Collaborates with physicians, nurses and other clinical roles to identify opportunities to improve functions related to care management and evaluates the impact of improvement activities
Represents the care management department as needed to provide expertise regarding care management functions
Must adhere to all DCH Health System facility and Care Coordination Department policies and procedures, as well as standards from external regulatory agencies and accrediting bodies (i.e., JACHO, Department of Public Health, AQAF, KePro, etc.)
Maintains performance, patient and employee satisfaction, and financial standards as outlined in the performance evaluation
Performs compliance requirements as outlined in the Employee Handbook
Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues, and self
Requires use of electronic mail, time and attendance software, learning management software, and intranet.
All other duties as assigned