Supervisor Care Management

WVU Medicine•Morgantown, WV

8d•Onsite

About The Position

Promotes optimal clinical and resource utilization allocation, appropriate lengths of stay, and reimbursement for hospital admissions in accordance with organizational goals and objectives. Serves as an informational and educational resource for the team, develops organizational approaches to problem solving, analyzes systems and variances to identify improvement opportunities, and promotes quality care through collaboration with service team members, patients, and families. Oversees Care Management staff discharge and transition planning, supports staff development and performance, and provides clinical guidance on complex, high-acuity cases. The role also supports regulatory compliance, payer education, quality audits, hospital committees, and collaborative relationships across departments. Flexible hours may include weekends and holidays. The position is scheduled for 40 hours per week.

Requirements

Bachelor’s degree in Nursing or Master’s degree in Social Work.
Current Registered Nurse license for the state where services are provided, or a current multistate RN license through the enhanced Nurse Licensure Compact (eNLC); alternatively, applicable state social work licensure is accepted.
For West Virginia social work applicants: LGSW, LCSW, or LICSW through the West Virginia Board of Social Work.
For Pennsylvania social work applicants: LCSW or LSW through the Pennsylvania Board of Social Workers, Marriage and Family Therapists and Professional Counselors.
Five years of Nursing or Medical Social Work experience, including two years in an inpatient hospital setting.
Two years of Care Management or supervisory experience.
Excellent interpersonal communication and negotiation skills when interacting with patients, families, physicians, and healthcare team colleagues.
Ability to work with people from diverse social, economic, and cultural backgrounds and to be flexible, open-minded, and adaptable to change.
Expert team-building skills, problem-solving abilities, and conflict-resolution strategies.
Ability to meet the physical demands of prolonged walking, standing, or sitting.

Nice To Haves

Care Management Certification.

Responsibilities

Oversee discharge and transition planning conducted by Care Management staff and audit those activities for accuracy.
Conduct weekly Clinical-Financial meetings to monitor patients with high costs, lengthy stays, or social barriers, collaborating with the multidisciplinary team to address cases.
Maintain working knowledge of regulatory requirements and insurance coverage and limitations for acute care and transitions to non-acute settings.
Participate in weekly meetings with new employees and preceptors during orientation to evaluate progress and adjust plans.
Serve as a clinical resource and role model for department personnel.
Guide staff on complex, high-acuity patient assessments and interventions, and intervene as appropriate.
Document interactions with patients and families in a timely and comprehensive manner.
Assist departmental executive leadership with developing annual competency analysis system requirements and criteria.
Provide the Manager with constructive and timely feedback on employee performance and management.
Support innovation, creativity, and empowerment, with care delivery based on current literature and research.
Promote positive intradepartmental and interdepartmental relationships.
Model effective communication and conflict resolution and promote quality service and consumer satisfaction.
Perform monthly compliance audits as directed.
Serve on hospital committees as needed or assigned.
Educate hospital staff and physicians about payer regulations and managed care principles to support seamless patient care.
Support the integration of staff and students into the healthcare team.
Maintain and improve management skills through self-development activities such as seminars, workshops, classes, and literature review.