Supervisor of Hospital Care Management

This position is responsible for the supervision of the Hospital Care Management Department. The purpose of the Hospital Care Management program is to promote quality of care, cost effective patient outcomes, efficient resource utilization, while meeting the needs of the patient, family, referring physicians, agencies, and payer sources. This position serves as a resource and support for staff in managing care coordination through the continuum of services.

This position has access to confidential patient and hospital information. This position makes decisions independently and/or in collaboration with others. Incumbent provides direct service to patients and is responsible for administrative duties and budgeting accountability.

This position is responsible for the supervision of the Hospital Care Management Department. The purpose of the Hospital Care Management program is to promote quality of care, cost effective patient outcomes, efficient resource utilization, while meeting the needs of the patient, family, referring physicians, agencies, and payer sources. This position serves as a resource and support for staff in managing care coordination through the continuum of services.

This position has access to confidential patient and hospital information. This position makes decisions independently and/or in collaboration with others. Incumbent provides direct service to patients and is responsible for administrative duties and budgeting accountability.

• Planning, organizing, managing and evaluating Utilization Management and Case Management teams.
• Monitors achievement of program objectives and implement program changes to improve outcomes.
• In collaboration with the Manager, the Supervisor prepares, administers and monitors departmental operating and capital budget and maintains budgets within allocated funds.
• Participates in the development of policies and procedures of the Department. Allocates and assigns staff for proper utilization of personnel in relation to patient, service line and organizational needs.
• Initiates hiring and termination decisions, and performs timely annual evaluations and coaching sessions.
• Schedules and monitors assignments, and controls staffing levels to meet budgetary guidelines.
• Provides counseling, training, and addresses disciplinary problems.
• Maintains a supportive attitude towards department and facility goals, plans, policies, and procedures.
• Promotes the role of utilization management and case management within the Health System by effective liaison with managers, directors and physician leaders.
• Participates in the planning and development of educational programs for Utilization Management and Case Management staff. Coordinates and documents departmental orientation and in-service training.
• Provides expertise and direction to Hospital Care Management staff for solving complex clinical and financial patient situations regarding reimbursement issues, discharge planning, utilization review, continuity of care, and systems management.
• Supports culture of continuous quality improvement. Works within a team environment to manage the total function of the Hospital Care Management service. Actively participates in organizational committees.
• Participates in activities of professional associations.
• Promotes a positive, safe environment.
• Keeps abreast of current professional standards in the health field and makes recommendations on changes in policy and programs.
• In collaboration with the treatment team, attending physician, and external entities, may provide direct service care to patients.
• Performs other related duties as may be requested by Administration of the Health System.
  
  KNOWLEDGE, SKILLS AND ABILITIES:
• Thorough working knowledge of…