Senior Manager Care Management RN
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Oversees the team's utilization of technology and adherence to standard work to develop and implement effective discharge plans in collaboration with patients, families, care teams, and payors.
Participates in the hiring, onboarding, education, and retention of staff.
Participates in hospital meetings and initiatives to improve the consumer experience and achieve organizational goals.
Coordinates and leads family and care team meetings as needed.
Monitors for process improvement opportunities and participates in performance improvement initiatives and reports quality/risk issues to appropriate parties.
Collaborates and problem solves with outside agencies to facilitate patient transitions to post-acute settings.
Manages daily operations of the care management department in the Inpatient,
Observation, and Emergency Department settings. Collaborates with the management team to create and implement strategies to decrease length of stay, reduce avoidable readmissions, and enhance customer experience.
Leverages dashboards and reports to monitor staff compliance with documentation and regulation requirements.
Actively participates in daily multidisciplinary rounds and ensures staff participation to discuss patient transitions with cross functional teams and address barriers to discharge plans.
Educates and coaches staff to ensure timely and accurate documentation of patient evaluations, discharge plans, and regulatory requirements.
Leads the interdisciplinary team to address discharge barriers and escalates care delays to ensure timely transitions.
Leads staff meetings and ensures staff participation in process improvements, assuring the frontline voice is heard.
Performs other duties as assigned.
Knowledge, Skills, and Abilities:
• Understanding of core Care Management principles and CMS Conditions of Participation [Required]
• Knowledge of medical necessity for appropriate patient status and level of care [Required]
• Understanding and ability to implement mitigation techniques to attain hospital metrics [Required]
• Ability to analyze, evaluate, and monitor data [Required]
• Ability to foster positive Interdisciplinary Team relations and encourage employee engagement [Required]
• Strong professional verbal and electronic communication [Required]
• Ability to work independently and/or part of a team [Required]
• Strong technology skills Required; including working knowledge of Microsoft PowerPoint Preferred and intermediate knowledge of Microsoft Excel [Preferred]
• Understanding of Managed Care and Value Based Programs [Required]
• Ability to negotiate optimal resolution of issues [Required]
• Ability to communicate effectively with diverse populations [Required]
• Interpersonal skills that promote teamwork [Required]
• Critical thinking/problem solving skills [Required]
• Knowledge of and ability to utilize in-house and external resources [Required]
• Flexibility in prioritization [Required]
• Ability to multitask and function in a stressful, fast-paced environment [Required]
• Comprehensive understanding of current healthcare issues [Required]
• Outstanding clinical skills, leadership ability, organizational skills [Required]
• Ability to promote LOS and capacity management, discharge planning, social work, and utilization management in the hospital and the community [Required]
• Front line experience with surveyors [Preferred]
• Knowledge of change management principles, methodologies, and tools [Preferred]
• Bachelor's in Nursing [Required]
• Master's [Preferred] Field of Study:
• Master's in related field preferred Work Experience:
• 4+ Experience in care management [Required]
• 2+ Experience in front line nursing [Required]
• Inpatient Care Management experience [Preferred]
• Nursing Leadership experience [Preferred]
Additional Information:• N/A Licenses and Certifications:
• Registered Nurse (RN) [Required]
• Accredited Case Manager (ACM) [Preferred]
• Certified Case Manager (CCM) [Preferred]
Physical Requirements - Pay Range: $85,529.67 - $159,089.69 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Create a Job Match for Similar Jobs
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. More than 100,000 skilled and compassionate caregivers in physician practices, hospitals, outpatient clinics, skilled nursing facilities, home health agencies and hospice centers provide individualized, wholistic care.Our Christian mission, shared vision, common values and focus on whole-person health is our commitment to making communities healthier with a unified system: 51 hospital campuses and hundreds of care sites in diverse markets throughout nine states.
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