Manager of Case Management

Description:

Summary

Oversee the de l ivery of consistent, high qua l ity and patient centered care, promote the professiona l

growth and deve l opment of the Case Managers and C l inica l

Socia l

Workers, and deve l op operationa l

efficiencies.

Ensure case management practices comp l y with department, hospita l , and regu l atory po l icies, procedures and professiona l

standards of practice.

Deve l op, imp l ement, and maintain Case Management Department Standards of Practice and Po l icies and Procedures.

Serve as a

l iaison and resource for the Program Directors, Nurse Managers, Therapy Directors, Physicians and other c l inica l

and non-c l inica l

services and departments within the organization in the areas of case management and socia l

services.

Participate in qua l ity improvement and program deve l opment activities. Participate in deve l opment and assurance of genera l

and program specific competencies as it re l ates to the patient popu l ation served.

Key Responsibilities
·

Team members are hired, mentored, and continua l

l y deve l oped to achieve stated goa l s for performance.

·

Performance eva l uations are comp l eted accurate l y and time l y in accordance with organization standards.

·

Staff orientation is deve l oped, conducted and eva l uated to meet department standards.

·

Business p l an is a l igned with PCC strategy and is updated at

l east annua l

l y to drive change to meet market and organizationa l

goa l s in co l

l aboration with Case Management Director.

·

Direct c l inica l

practices are managed to ensure comp l iance with a l

l

regu l ations and achievement of targeted qua l ity, service and financia l

outcomes.

§

Comp l iance audits are conducted to ensure adherence to department standards of practice, po l icies and procedures.

·

Department qua l ity improvement projects are active l y engaged in to achieve estab l ished objectives.

·

Work assignments are distributed equitab l y among team members and meet the needs of the department.

·

Staffing schedu l e is deve l oped and maintained to ensure coverage meets anticipated needs.

·

Potentia l

l ong

l ength of stay patients are monitored to reso l ve barriers to discharge and support is provided to team members to achieve

l ength of stay targets.

·

Denia l s and appea l s are reviewed within estab l ished timeframes.

·

Estab l ished department goa l s are achieved through active participation in Uti l ization Review Committee.

·

Case Management Department Standards of Practice, Po l icies and Procedures are deve l oped and imp l emented in co l

l aboration with Case Management Director.

·

Committee

l eadership and engagement drives achievement of organizationa l

and department goa l s.

·

Additional department, organization, or network activities are completed per established objectives.

·

PCC Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.

Qualifications:

Qualifications and Experience

Experience

Required

·

Minimum of five years supervisory or management experience with professional staff in a healthcare setting.

Preferred

·

Five years of related rehabilitation experience and certification in case management preferred.

Case management, uti l ization review, or discharge p l anning experience in an acute, rehabi l itation, behaviora l

hea l th, ski l

l ed nursing, or home care is necessary required. Health plan experience in utilization review and case management will also be considered.

Licensure

Required

·

Current license to practice in Massachusetts in Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, Social Work, or Masters in Rehabilitation Counseling.

Skills

(Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS,

etc.)

Required

·

Knowledge of community services and the health care system is required. Knowledge of medical review criteria, and levels of care is required.

·

Computer proficiency required.

Microsoft office applications preferred with ability to learn new software.

Preferred

·

Highly developed communications and interpersonal skills, working with diverse population.

·

Work independently, be self-directed and contribute as a member of a team.

·

Anticipates challenges and develops and implements strategies for addressing them.

·

High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.

·

Attention to detail.

EEO Statement

SRN is committed to diversity in the workplace which begins with respect and opportunity for all. SRN takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law. If you need a reasonable accommodation in coming to or participating in the interview process, please let us know.

#J-18808-Ljbffr