Manager of Care Management

Overview

St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. St. Catherine’s is located on the north shore of Long Island in Smithtown. The campus is comprised of 296-bed not-for-profit community hospital; a 240-bed nursing and rehabilitation care center; and a 60,000 square foot medical office building.

Our nurses, physicians, and support staff are devoted to providing advance health care in an environment of compassion to our patients, their families, and our community. Our Mission is to create an environment of healing and compassion, to offer care to those in need and to provide a spirit of mutual respect while upholding our religious mission.

St. Catherine of Siena Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials. Our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.

Job Summary : The Nurse Manager, Care Management oversees the day-to-day operations of the Care Management Department. The Nurse Manager, Care Management provides support and guidance to the Care Management staff; balancing clinical, strategic, regulatory, risk management and financial aspects in everyday decisions about care coordination, resource utilization and discharge planning. The Nurse Manager, Care Management role also encompasses education of the entire interdisciplinary team on the goals of the Care Management Department.

The Nurse Manager, Care Management works collaboratively with other departments to achieve positive outcomes and a positive patient experience for all St. Catherine’s patients and families.

• Establishes, manages, and evaluates the day-to-day operations of the Care Management Department, ensuring effective and efficient delivery of services.
• Establishes clear roles, responsibilities, and performance expectations for Care Management staff.
• Develops and maintains staffing schedules and manages time-off requests to support appropriate departmental coverage.
• Provides ongoing coaching, constructive feedback, recognition, and support to Care Managers to promote performance excellence and professional growth.
• Monitors employee performance and participates in annual performance evaluations.
• Ensures timely, accurate, and appropriate documentation of Care Manager interventions and activities.
• Participates in the orientation and onboarding of newly hired Care Management staff.
• Participates in daily Escalation Huddles to identify and address delays, barriers to discharge, and other factors impacting patient throughput.
• Collaborates with the Physician Advisor, attending physicians, and interdisciplinary teams regarding clinical and utilization management issues, as appropriate.
• Reviews patient level of care for ambulatory, observation, and inpatient admissions and collaborates with the attending physician and clinical team to resolve identified issues.
• Communicates changes in patient level of care status to Care Managers based on physician orders and/or updated clinical information.
• Serves as a resource to Care Management staff regarding regulatory requirements, managed care guidelines, medical necessity, and utilization management practices.
• Collaborates with the interdisciplinary team to ensure medical necessity, appropriate patient status, timely progression of care, and optimal patient outcomes.
• Facilitates patient throughput and supports effective transitions across the continuum of care.
  
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