Case Management Manager

Introduction Are you ready to manage in a new era as a Case Management Manager where building a healthier tomorrow is more than a job? Our TriStar Skyline Medical Center team is committed to partnership, innovation, legacy and improving more lives in more ways. Benefits TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Note: Eligibility for benefits may vary by location. Job Summary And Qualifications The Manager of Case Management Services is responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for their assigned area of responsibility in alignment with the goals of the department. What you will do in this role: Serve as a role model and functions as a clinical resource for staff. Supervise and facilitate development of staff and oversees the day-to-day tasks/activities in the department. Ensure staff are competent in the use of InterQual to progress the plan of care. Work collaboratively and maintain active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management. Monitor the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes. Monitor quality of documentation and assessments by regularly auditing the case managers’ documentation. Participate in clinical performance improvement activities. Communicate effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts. Assume responsibility for scheduling, staffing, education, and competencies of department. Complete daily, weekly and monthly reports as assigned by the Director of Case Management. Seek ways to control costs without compromising patient safety, quality of care, or the services delivered. Adhere to established policy and procedure and standards of care; escalates issues promptly through the established chain of command. Demonstrate knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. Serve as an advocate for patient's rights, needs, and values; ensure that patients’ ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned. What qualifications you will need: Associate’s Degree in Nursing or Nursing Diploma required; Bachelor's Degree in Nursing preferred. Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required. 3-5 years of clinical nursing experience required. 2 years of supervisory or management experience preferred. InterQual experience preferred. Certification in Case Management and/or InterQual or IQCI preferred. TriStar Skyline Medical Center is a 350+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are a state-designated Level I Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr