Manager of Case Management

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

Provides direction and leadership to the Case Management team to promote delivery of high-quality patient care with an appropriate length of stay and appropriate resource utilization. Facilitates the safe movement of the patient through the acute phase of their hospitalization with appropriate post-acute services. Oversees daily case management operations.

Required Behaviors:

As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us, we freely give because we believe in our mission.

Required Qualifications :

• BSN; Registered Nurse License in New Mexico or Bachelor's Degree in healthcare (or related field) or ADN with ten (10 +) or more years of healthcare experience with prior experience working within a hospital setting, at least five (5) years' experience must be in a leadership position
• Hospital Case Management experience
• Knowledgeable of discharge planning process, reimbursement principles, and InterQual criteria
• Assertive and diplomatic communication skills
• Self-motivated and accountable
• Team Oriented
• Accredited Case Manager certification (ACM) within 2 years of hire

Preferred Qualifications:

• Certified Case Manager (CCM)
• Management experience
• Process improvement certified

Duties and Responsibilities:

• Financial and Strategic Management:
~ Understands health care economics and health care public policy
~ Policy development and implementation
~ Develops annual budget with Director
• Human Resource Management and Leadership:
~ Hires, orients, mentors, and completes performance reviews
~ Committed to all aspects of staff education and development
• Quality and Performance Improvement:
~ Actively participates in departmental and organizational quality initiatives
~ Audits for Quality Assurance and employee feedback.
• Relationship Management and Influencing Behaviors:
~ Exhibits effective communication and negotiation skills
~ Promotes and maintains good working relationships with post-hospital care agencies
• Knowledge of the Healthcare Environment:
~ Articulate federal and state payment systems and regulations, as well as private insurance issues, which affect the organization's finances
~ Understand and articulate organization's payer mix, CMI and benchmark database
~ Knowledgeable in CMS's UR/DCP CoPs and industry standards
• Performs related duties and responsibilities as required.

• All SJRMC Employees are responsible for implementing SJRMC's Service Standards into their activities:

Safety, Courtesy, Effectiveness, and Stewardship

Physical Demands and Environmental Work Conditions:

• Prolonged standing/sitting/walking
• Fast-paced environment
• High level of activity with many interruptions
• Possible exposure to communicable disease
• Repetitive motions (e.g., prolonged keyboard usage)

Sensory Requirements:

• Employee will need to be able to hear:

~ Alarms on equipment/fire alarms/overhead announcements

~ Patients/families verbal discussion

~ Instructions/feedback from other healthcare providers

• The employee will need to be able to see:

~ Focus on close-up and distant objects

~ Have intact: peripheral, vision, and depth perception