Manager, Care Management

Job Summary

Under the supervision of the System Director of Care Management the Manager of Care Management is responsible for supporting all daily operations of the departments at Woman and Infants Hospital (WIH). The Care Management Manager provides leadership assistance and support to maintain department focus on reaching established departmental goals.

Under the supervision of the System Director of Care Management the Manager of Care Management is responsible for supporting all daily operations of the departments at Woman and Infants Hospital (WIH). The Care Management Manager provides leadership assistance and support to maintain department focus on reaching established departmental goals.

• Supports departmental operations to ensure consistency with health system/department policies under supervision of the System Director of Care Management
• Works in collaboration with Director to oversee new employee hiring orientation and competency evaluation
• Displays sound managerial judgment in all areas
• Assists System Director of Care Management in planning and monitoring department budget
• Provides service in the most cost-effective manner without compromising the quality of care or customer satisfaction
• Maintains performance, patient and employee satisfaction, and financial standards
• Adheres to CNE facility and department policies and procedures as well as standards from external regulatory agencies and accrediting bodies (i.e. Joint Commission CMS etc.)
• Assists the hospital and department in meeting and exceeding their commitment to continuous quality improvement
• Assists System Director of Care Management in the planning and implementation of opportunities and new ideas to promote department growth and development
• Supports and leads department strategies and efforts focused on improving key care management metrics
• Assists System Director of Care Management with establishing performance improvement initiatives
• Supports and participates in departmental strategies and efforts focused on improving clinical documentation by physicians
• Designs and develops processes related to Care Management as assigned by Director
• Maintains knowledge of the hospital mission vision and values and functions to support them
• Maintains confidentiality at all times related to both patient and employee information
• Develops and updates department orientation/mentoring process for Care Managers and other department staff
• Supports ongoing education and development of Care Managers and other department staff
• Monitors compliance with established policy/procedure and communicates opportunities for improvement to staff
• Assists Director in competency assessments for all staff through audit reviews shadowing and performance metrics
• Takes actions to assure improvement on the employee satisfaction survey
• Assists with implementing and evaluating the Department’s daily operations
• Supervises initiates and recommends personnel actions for staff
• Approves staffing, assignments, coverage, employee PTO, and payroll approval to ensure appropriate staffing coverage
• Assures appropriate weekend, holiday, and off hours coverage for hospital
• Remains on‑call 24/7 for clinical staff as back‑up
• Serves as a departmental resource and manages issues/problems escalated by staff
• Holds regularly scheduled Care Management Department staff meetings
• Facilitates training sessions to educate assigned users of applicable case management systems
• Builds and maintains professional relationships with payers and external agencies and keeps staff updated regarding changes.
• Builds and maintains professional relationships with unit managers, Physician Advisor, and CNE leadership to help facilitate aligned goals
• Serves as department lead and clinical expert for Cerner, Careport, Inter Qual, and other department applications
• Assists with scheduling, coordinating, and training of applications
• Collaborates with System Director in completion of annual performance evaluations for both Care Managers and other department staff
• Attends rounds and maintains a daily working knowledge of cases, helps staff develop solutions to barriers that prevent appropriate discharges
• Maintain…