Manager Of Case Management

Medstar Research Institute Baltimore , MD 21203

Posted 1 week ago

Job Summary Assists the Director with the overall operational direction of the Case Management Program. Serves as aresource person in all aspects of utilization management. Supervises the staff in performing utilization review. Minimum Qualifications Education/Training Bachelor#s degree in Nursing or related Healthcare Management field; Master#s degreepreferred. # Experience 3 years utilization review or case management experience; 5 years clinical experience in anacute care facility; management or supervisory experience. # License/Certification/Registration No special certification, registration or license required. # Knowledge, Skills # Abilities Excellent verbal and written communication skills. Basic computer skills preferred. Primary Duties and Responsibilities Assists Director with the preparation of annual report for Utilization Review to the State Department of Health and Mental Hygiene. Assists in the development and recommendation of department operating budget and ensures that the department operates within the budget. Assists with developing, evaluating, recommending, and implementing policies and procedures. Assists with the overall operational direction of the Case Management Program through the integration of social work, utilization management, and case management functions to achieve identified objectives. Contributes to hiring and termination decisions, new staff orientation, development of job descriptions and performance standards, schedules and monitors assignments, and controls staffing levels to meet budgetary guidelines. Interfaces with external agencies (e.g., home health agencies, skilled nursing facilities, durable medical equipment, Delmarva) and provides appropriate information, consultation, or recommendations. Participates in meetings and on committees and represents the department and hospital in community outreach efforts as required. Participates in multidisciplinary quality and service improvement teams. Performs other duties as assigned. Provides counseling and training, addresses disciplinary problems, and appraises performance. Assists in the evaluation of age specific assessment, plans, and delivery of care provided by staff. Shows sensitivity to the special needs of specific age groups. Serves as a resource person in all aspects of utilization management for all Medical Staff and ancillary departments to assure hospital compliance with TJC standards and State and Federal regulations. Supervises the Case Management Staff in performing utilization review in accordance with guidelines and regulations established by the hospital board, Administration, Medical Staff, accreditation and certification agencies, and Federal and State governments.

  • Job Summary

  • Assists the Director with the overall operational direction of the Case Management Program. Serves as aresource person in all aspects of utilization management. Supervises the staff in performing utilization review.

  • Minimum Qualifications

  • Education/Training

  • Bachelor's degree in Nursing or related Healthcare Management field; Master's degreepreferred.

  • Experience

  • 3 years utilization review or case management experience; 5 years clinical experience in anacute care facility; management or supervisory experience.

  • License/Certification/Registration

  • No special certification, registration or license required.

  • Knowledge, Skills & Abilities

  • Excellent verbal and written communication skills. Basic computer skills preferred.

  • Primary Duties and Responsibilities

  • Assists Director with the preparation of annual report for Utilization Review to the State Department of Health and Mental Hygiene.

  • Assists in the development and recommendation of department operating budget and ensures that the department operates within the budget.

  • Assists with developing, evaluating, recommending, and implementing policies and procedures.

  • Assists with the overall operational direction of the Case Management Program through the integration of social work, utilization management, and case management functions to achieve identified objectives.

  • Contributes to hiring and termination decisions, new staff orientation, development of job descriptions and performance standards, schedules and monitors assignments, and controls staffing levels to meet budgetary guidelines.

  • Interfaces with external agencies (e.g., home health agencies, skilled nursing facilities, durable medical equipment, Delmarva) and provides appropriate information, consultation, or recommendations.

  • Participates in meetings and on committees and represents the department and hospital in community outreach efforts as required.

  • Participates in multidisciplinary quality and service improvement teams.

  • Performs other duties as assigned.

  • Provides counseling and training, addresses disciplinary problems, and appraises performance. Assists in the evaluation of age specific assessment, plans, and delivery of care provided by staff. Shows sensitivity to the special needs of specific age groups.

  • Serves as a resource person in all aspects of utilization management for all Medical Staff and ancillary departments to assure hospital compliance with TJC standards and State and Federal regulations.

  • Supervises the Case Management Staff in performing utilization review in accordance with guidelines and regulations established by the hospital board, Administration, Medical Staff, accreditation and certification agencies, and Federal and State governments.

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Manager Of Case Management

Medstar Research Institute