Position Summary: ????Manager- Case Management has primary responsibility for the daily assessment, planning, implementation, coordination, monitoring of the staff of the case management department.?? The Case Management Manager is responsible for guiding, mentoring, and leading the hospital???s case management team.????
Performs and leads Case Management activities in accordance with HCA accepted practice.
Other duties of the Case Management Manager:
o Supervise assigned personnel, which include daily work assignment allocation, training, mentoring and problem resolution.
o Evaluates performance and make recommendations to the director for personnel actions.
o Motivates employees to achieve peak productivity and performance.
o May assist director in employee counseling and/or disciplinary action when necessary.
o Supervise employee output and professional conduct.
o Conduct on the job training and orientation of all new staff.
o Involved in the hiring of staff members for openings in his/her cost center and or department.
o Work in a fast-paced and customer service-oriented environment and to perform duties.
o Meet deadlines in a timely manner and understands that outcomes are metrics driven.
o Complete assignments independently and to work as part of a team; to take instructions from director; to exercise problem-solving skills; and to interact with co-workers, patients, families, vendors, and the public in a professional and pleasant manner.
o Oversee good ???iCare??? core values and customer service, which all employees must follow.
o Supervise daily activities and flow of Case Management operations from admission to discharge.
o Work as a liaison between Case Management, physicians and ancillary departments of the hospital.
o Understand and enforce system, departmental and hospital policies and procedures as well as established rules and regulations.
o Cross train in other functions or positions to ensure satisfactory operation of the department/work unit to permit flexible staffing assignments.
o Recognize impending crisis situations and institutes measures (such as adjusting priorities) to prevent further complications.
o Keep abreast of the physician utilization of service, their specialty and specific needs.
o Communicate timely with the Director of Case Management regarding any problems, issues or concerns regarding his/her team.
o Serve as a role model for all employees by setting an example of high standards in dress, attitude, conduct, cooperation and job performance.
o Work closely with all ancillary and clinical departments to ensure patient is moved along the continuum of care in a cost- effective, timely manner to insure quality care.
o Perform duties and responsibilities of all lesser included jobs
o Requires weekend supervision coverage at times.
o Perform other duties as assigned.
Current licensure as a Registered Nurse to practice in the State of Georgia. CCM or ACM certification preferred.
??? Education: Graduate of an accredited school of Nursing, BSN preferred.
Minimum of two years of supervisory experience in Case Management in an acute hospital setting. Preferably a minimum of 5 years of Case Management experience.
Direct patient care experience in an acute care setting required.
Ability to perform comprehensive assessment of physical and psychosocial needs of patients. Understanding of the unique needs associated with various age populations and the ability to provide age specific care and services. Computer literate.
Performs in accordance with delineated job responsibilities and satisfactorily completes a yearly evaluation based on these responsibilities. Must possess the knowledge and skills necessary to effectively meet the needs of the patient/internal & external customer.
Knowledgeable about Medicare, Medicaid, TriCare and other third party payers. Knowledgeable about local, state, federal and community resources and the scope of services they provide. Direct experience with regulatory agencies and third party payers within the last two years.
Experience in discharge planning and a working knowledge of alternative delivery systems including home health, durable medical equipment, rehabilitation, extended care facility and skilled nursing facilities, their scope of services and their criteria for care. Knowledgeable and experience in medical/legal aspects of care. Knowledge of Interqual Criteria a must.