Manager, Care Management Case Management

Position Summary

The Care Management Supervisor leads the care management team in coordinating patient care, promoting appropriate use of hospital resources, and ensuring effective discharge planning. This role oversees care coordination activities to support safe transitions to the next level of care while enhancing patient outcomes and operational efficiency.

Serving our neighbors for more than a century, Baptist Health Princeton Hospital in Birmingham is a 505-bed facility dedicated to a patient-first approach.

A recognized leader in aortic valve surgery, COPD, heart attack, heart failure and stroke, we provide fast, lifesaving response times for patients with chest pain or stroke symptoms. Our full range of services includes comprehensive emergency room care; cardiovascular care, including structural heart and valve care; orthopedics, including rehabilitation; a comprehensive sleep center; a comprehensive bariatrics center, providing surgical and nonsurgical weight-loss procedures;

and women’s care for all stages of life.

We have achieved Primary Stroke Center certification from The Joint Commission and accreditation from the American College of Surgeons Commission on Cancer and from the American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). At Baptist Health Princeton Hospital, we are committed to contributing to the future of healthcare through our clinical research and medical residency program.

Baptist Health Princeton Hospital offers great NEW competitive pay and benefits!

• Medical, Dental, Vision
• 403(b) Retirement Savings Plan w/matching
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (up to 5 weeks to start)
• Life Insurance
• Extended Leave Plan (ELP)
• Family Care (childcare, elder care, pet care)
• Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

ALL benefits start on day one!

POSITION SUMMARY

Leads the care management team in facilitating appropriate use of hospital resources and effective discharge planning and coordination of services to transition patients to the next appropriate level of care.

What you will do

• Manages educational, financial and human resources for the care management teams to deliver high quality, cost effective, and responsive patient-focused health care services.
• Coordinates the workload distribution and scheduling of the care management team members to assure adequate and appropriate staffing to meet the needs of patients and families within the Baptist Health network.
• Develops collaborative relationships with the site leadership, medical staff leadership, managed care contractors, and community leaders.
• Supports positive relationships with payors and develops plans to optimize reimbursement and quality of care.
• Monitors working DRGs and GMLOS assignment as appropriate.
• Implements the performance improvement process to include outcome measurement as it relates to the identification of processes/ strategies/ opportunities that promote population health.
• Achieves results by developing strategies to manage patient care across the continuum, focusing on high risk, high cost and problem prone areas to include patient at risk for re-admission.
• Supports processes for clinical quality/ cost-improvement initiatives/ preventing re-hospitalizations.
• Develops recommendations to expand the integration of post-acute care services and hospital operations to better meet the needs of Baptist Health and the community.
• Designs educational strategies to assure compliance with regulatory standards for NCQA, HIPAA, CMS, and other local, state and federal organizations as applicable.
• Coordinates…