Rn Case Manager Supervisor

Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

Compensation Disclaimer

Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

Department:
Utilization Management - UH

FTE: 1.00, Full Time, Shift: Days

Position Summary:

Responsible for the initial review, triage and assignment of patients to case managers and for the coordination of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for the identified patient population. Supervise staff in the department. Act as a resource and role model for staff. The incumbent also functions as a contact person for the patient, family, health care team members, community resources and employees.

Ensures adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.

• Patient centered medical:
  Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
• Identification:
  Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
• Supervision:
  Develop efficient organizational structure. Supervise employees and select, terminate, train, educate, correct deficiencies, perform appraisals, issue discipline, counsel, schedule work assignments; encourage staff teamwork and growth initiatives
• Data:
  Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
• Assessment:
  Assess the patient’s clinical, psychosocial status and current treatment plans
• Needs:
  Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
• Collaboration:
  
  Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
• Assignment:
  Oversee and assign case loads and staff hours to best suit Hospitals needs
• Coverage:
  Organize case coverage during absence of staff
• Performance:
  Assist in developing standards of performance, evaluation of performance, and initiates or makes recommendations for personnel actions
• Leadership:
  Provide leadership through identification of problems and opportunities for improvement, program planning, implementation, and evaluation
• Goals:
  Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
• Plan of Care:
  Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
• Discharge Planning:
  Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN’s, and other health care team members
• Variances:
  Intervene when variances occur in patient individualized treatment plan
• Resources:
  Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
• Interventions:
  Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• Variance:
  Review variance from standardized protocols of care with health care team members and implement resolution strategies
• Treatment Conference:
  Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary…