Registered Nurse (RN) - Manager of Case Management - Maryview Medical Center

Bon Secours Mercy Health • Portsmouth, VA

17h • Onsite

About The Position

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Registered Nurse (RN) - Manager of Case Management - Maryview Medical Center $10,000 sign-on bonus! Are you passionate about improving the patient's experience through high quality, convenient, and connected care delivery? Welcome to Maryview Medical Center, the way it should be. At Bon Secours Maryview Medical Center, we understand the many complexities of life and healthcare, which is why our team strives to create a better, easier experience for our patients who are transitioning out of inpatient hospital care. We are seeking a highly motivated and skilled professional who shares a passion for excellence in case management and is able to lead a team to the same level of professionalism and passion. Apply today to learn more about becoming the Manager of Case Management at Maryview Medical Center. WHY you should join our Team: Teamwork: Maryview Case Managers believe in working together for the benefit of their patients. Patient Centered Care : Each case manager strives to honor the patient centered care provided during the patient's hospital stay by focusing on successful transitions from the hospital. Leadership : Supportive leadership at the executive level fosters an environment of growth and mentorship for new and upcoming leaders. Relocation assistance eligible - discuss with your recruiter. Job Summary: The Manager, Case Management is responsible for day-to-day oversight, coordinating, organizing and managing functions and resources for the Case Management Department. This role collaborates and coordinates with Case Management Leadership and colleagues to achieve standardization of assigned functions and responsibilities. This role combines the clinical and the financial components to achieve the best possible outcomes for the patients served and the organization.

Requirements

• Bachelor of Science Nursing or Social Work (required)
• 3 years of recent acute hospital care management experience (required)
• Care management
• Discharge planning
• Patient Advocacy
• Flexible Care Planning
• Care Coordination
• Analyzing data or information
• Reimbursement methodologies
• Staffing workflow and bed allocation
• Clinical knowledge
• Tracking
• Working knowledge of local and state resources
• Knowledge of government and non-government payor practices, regulations, standards and reimbursement
• Leadership
• Mentorship
• Training Employees
• Knowledge Sharing
• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Proactive

Nice To Haves

• Masters, Nursing, Social Work, or Healthcare Administration (preferred for BSMH, required for RSFH)

Responsibilities

• Provides leadership and oversees day-to-day operations to Case Management Team.
• Works with Care Management leadership and colleagues to achieve standardized practices and processes related to Advance Care Planning, Length of Stay (LOS) management, readmission prevention, use of predictive readmission tool and application of appropriate interventions, denial prevention related to medical necessity through proactive progression of care and addressing barriers to (including tracking of avoidable days or delays), daily team rounding, care transitions,  patient satisfaction related to care transitions.
• Monitors success through qualitative and quantitative data and takes appropriate action to mitigate barrier and improve outcomes.
• Advocates and educates regarding right care, right time at the right place.
• Provides education to care management staff, physicians and nursing, other care teams members regarding effective progression of care, Level of Care (LOC), and safe and timely transition management.
• Supports national standards for care management scope of service :  Education , Care Coordination, Compliance, Transition Management and Resource Utilization.
• Utilizes systems within the Case Management Department to support an effective and proactive care management process across the continuum, working closely with and aligns with population health and community health efforts supporting a patient-centered care management model that spans the continuum.
• Collaborates with ambulatory and post-acute providers and staff to ensure seamless transitions of care.
• Partners with physician leader to optimize the Utilization Management Committee, providing actionable data related to utilization opportunities identified through qualitative data and quantitative data analytic platforms such as Quality Advisor and other facility or system resources.
• Directs daily operations to achieve effective utilization of personnel resources consistent with patient and ministry needs.
• Assist in development of annual departmental goals and objectives , aligns with system Care Management goals and objectives .
• Assists in development of strategic departmental plans and initiatives. 
• Fosters integration and strong collaborative partnerships with nursing, quality, hospitalist, physician advisor, other physician leadership in supporting and engaging in clinical integration activities in order to optimize high quality, cost efficient care.
• Participates in the development and management of the annual budget.
• Identifies and achieves cost reductions.
• Works in concert with organization colleagues to achieve standardization of operations.
• Understands the financial impact of contracts and changing payment models from fee-for-service to value-based care.
• Works collaboratively with staff and other key stakeholders to reduce cost

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support
• Relocation assistance eligible - discuss with your recruiter

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees