Manager of ED and OBS Case Management

Absolute Workforce•Houston, TX

5d•Onsite

About The Position

The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement. Assists in supervising and managing all aspects of the local level program. Supports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed. Responsible for coordinating day to day operations of the program at the unit level. Assists in identifying and achieving optimal targeted financial outcomes via the inpatient case management process. Participates in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management. Provides input to annual and interim performance appraisal reviews for the professional and non-professional staff in department. Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.) Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management. Uses data to drive decisions, plan, and implement performance improvement strategies for case management. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned.

Requirements

Bachelor of Science in Nursing OR Social Work (BSW).
Current and valid license to practice as a Registered Nurse in the state of Texas or Licensed Master Social Worker (LMSW) required.
Case Manager Certification required.
Minimum five (5) years of experience in utilization management, case management, discharge planning, or other cost/quality management program.
Three (3) years of experience in hospital-based nursing or social work.
Three (3) years of demonstrated leadership experience.
Knowledge of leading practice in clinical care and payor requirements.
Self-motivated, proven communication skills, assertive.
Background in business planning and targeted outcomes.
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
Working knowledge of the concepts associated with Performance Improvement.
Demonstrated effective working relationship with physicians.
Ability to work collaboratively with healthcare professionals at all levels to achieve established goals and improve quality outcomes.
Effective oral and written communication skills.

Nice To Haves

Master’s degree preferred.
LCSW preferred.

Responsibilities

Assist the Director of Case Management in the implementation of the case management program at the local level.
Coordinate the use of systems and processes for care/utilization management at the hospital level.
Assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement.
Coordinate day-to-day departmental operations and the appropriate and effective use of hospital resources.
Participate in the collection, analysis, and reporting of financial and quality data related to utilization management, quality improvement, and performance improvement.
Assist in supervising and managing all aspects of the local level program.
Support the growth and development of the case management program.
Coordinate day-to-day operations of the program at the unit level.
Assist in identifying and achieving optimal targeted financial outcomes via the inpatient case management process.
Participate in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management.
Provide input to annual and interim performance appraisal reviews for professional and non-professional staff in the department.
Act as a liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
Lead a high-performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
Use data to drive decisions, plan, and implement performance improvement strategies for case management.
Ensure safe care to patients, staff, and visitors; adhere to all Memorial Hermann policies, procedures, and standards within budgetary specifications.
Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.
Support department-based goals that contribute to the success of the organization.
Serve as preceptor, mentor, and resource to less experienced staff.
Demonstrate commitment to caring for every member of our community by creating compassionate and personalized experiences.
Model Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.