Nurse Director Case Management

The Case Management Nurse Director evaluates and ensures that hospital resources are used appropriately and effectively. The Director oversees the collection, analysis, and reporting of financial and quality data related to utilization management, quality improvement, and performance improvement. The Director is accountable for achieving established performance targets through actively engaging multiple disciplines and professional staff. The Director must appropriately manage people, relationships, and processes in order to achieve maximized results.

The Director ensures that the department achieves its goals and objectives by engaging internal and external stakeholders in care management processes at Boston Medical Center. The Director promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence.

• Direct, coordinate, supervise, and provide clinical care to patients in collaboration with the health care team.
• Develop and sustain a practice environment that supports evidence-based clinical practice through planning and implementing programs that contribute to positive patient outcomes.
• Promote integration of evidence-based research into practice at the unit level.
• Ensure appropriate care delivery model considering the skill mix necessary to provide quality care and fluctuations in unit(s) activity and acuity levels.
• Collaborate with the interprofessional team to develop, revise, and update clinical priorities and care management plans.
• Set priorities for appropriate and efficient management of patient care that reflects cost-effective management of time, available human resources, supplies, and equipment.
• Maintain knowledge of regulatory and accreditation standards and ensure compliance.
• Maintain knowledge of patient safety and implement the hospital’s Quality and Safety Plan through timely and accurate completion of review of RL incident reports, conducting follow-up investigations, and initiating corrective action as needed.

The Nurse Director utilizes expert communication strategies that facilitate productive relationships with others within the organization and influences employee behavior.

• Interview, hire, train, supervise, evaluate performance, implement corrective actions, and seek feedback and guidance as appropriate and according to established personnel policies and procedures.
• Ensure hiring and supervising practices and promotion recommendations actively support the organization’s affirmative action and equal opportunity policy.
• Actively embrace, engage, and promote diversity, equity, and inclusion activities.
• Acquire, maintain, and utilize knowledge of current labor contracts and personnel policies and procedures for all clinical staff.
• Collaborate with Human Resource/Labor Management staff as needed.
• Initiate timely and appropriate management interventions inclusive of coaching, counseling, and progressive discipline for the clinical staff.
• Conduct independent investigation of employee incidents involving clinical practice issues, including review of employee personnel file, discipline record, and evaluations.
• Impose appropriate disciplinary action as needed.
• Utilize data from staff engagement surveys to develop action plans and improve outcomes.
• Embrace recognition and reward tactics.
• Recommend employees for promotion or other incentive programs and rewards.
• Evaluate probationary employees’ work performance and recommend employment continuation or discharge.
• Employ and encourage interprofessional communication and collaboration to positively impact patient safety, teamwork, and achievement of strategic goals.
• Be accessible and visible using a variety of communication strategies; regular staff meetings, daily huddles and leader rounding.

• As a transformational leader, the Nurse Director views issues globally, creates a vision, inspires others, tolerates chaos and ambiguity, does not fear taking risks, and works with others in a more connected way.
• Participate in strategic planning to establish departmental goals and metrics, cascade goals to the unit, and work to achieve organizational goals.
• Communicate departmental goals to the staff and foster a work environment that motivates employees to achieve these goals.
• Foster a culture of shared governance, inspiring others to be involved in unit-based councils, departmental councils, implementation of evidence-based practices, innovation, and quality improvement activities.
• Establish unit-based goals for quality and satisfaction metrics, educational progression and specialty certification, and encourage staff participation in professional organizations.
• Utilize the performance appraisal process as a tool to seek feedback, encourage growth, inspire others, and establish and achieve individual goals.
• Embrace the Magnet culture, enculturate the tenets of a Magnet organization at the unit level, and contribute to the development of the Magnet…