Healthcare Manager Jobs

About The Position

Requirements

• Graduate of an accredited program required for Registered Nurses.
• Healthcare professional licensure as a Registered Nurse, or as an LCSW or LSW if required by state regulations.
• Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
• Knowledge of Medicare benefits, insurance processes and contracts, accreditation standards, and compliance requirements.
• Critical-thinking, prioritization, and time-management skills.
• Basic computer skills, including working knowledge of Microsoft Office, word-processing, and spreadsheet software.
• Excellent interpersonal, verbal, and written communication skills to obtain cooperation and collaboration from hospital leadership, physicians, payors, and external customers.
• Good interpersonal skills when working or interacting with patients, families, and staff.
• Fluent in English, including reading, writing, and speaking.
• Good and regular attendance.

Nice To Haves

• BSN preferred.
• Certification in Case Management is a plus.
• Two years of experience in a healthcare setting preferred.
• Prior experience in case management, utilization review, or discharge planning preferred.

Responsibilities

• Coordinate clinical and psychosocial activities with the Interdisciplinary Team and physicians.
• Monitor patients’ stays to support effective care coordination and efficient care facilitation.
• Refer high-risk patients who could benefit from additional support.
• Serve as a patient advocate and support patients and families in making informed decisions.
• Apply knowledge of growth and development to provide age-appropriate care to the patient population served.
• Participate in interdisciplinary patient-care rounds and conferences to review treatment goals, optimize resource use, provide family education, and identify post-hospital needs.
• Collaborate with clinical staff in developing and executing care plans and achieving goals.
• Coordinate care planning across the continuum with the interdisciplinary team, physicians, patients, families, post-acute providers, payors, and others.
• Maintain current knowledge of reimbursement modalities, community resources, case management, and psychosocial and legal issues affecting patients and providers.
• Perform other related duties as assigned.