Manager, Case Management

Manager, Case Management

The Manager of the Clinical Resource department is responsible for the day-to-day operations and clinical management of the Case Management, and Social Work staff. This position will oversee functions of the Clinical Resource Department as they pertain to discharge planning, utilization management, and social work process while maintaining the integrity of daily operations. This position is responsible for developing and conducting ongoing education for CM/SW staff.

1. Day to day management of the case management and social services program staff and workflows, including scheduling and performance evaluations.

2. Rounds on patient units on a regular basis to identify problem areas and assist in the facilitation of the discharge process

3. Ongoing development and completion of continuing education programs for Clinical Resources Management staff, including case managers and the social workers specifically related to role functions and implementation of new processes.

4. Provides ongoing program education for new staff, including new Case Managers, the Trainee program hires, social workers, physicians, nurses and allied health professionals as it relates to discharge planning and utilization review.

5. Tracks and trends Clinical Resource Management program compliance. Creates a dashboard to see where opportunities for improvement are and implements process improvement activities around areas identified.

6. Develop, mentor and coach continual improvement in the collaborative practice between physicians, nurses and clinical resource team, and within the clinical resource department itself

7. Stays current with regulatory changes in the case management field.

8. Analysis and review of program metrics using working knowledge of the systems used in the departments.

9. Knowledge of organizational policies and procedures

10. Skill in identifying problems and recommending solutions.

11. Skill in preparing and maintaining records and written reports

12. Represent the department on committees acting as a chairperson as appropriate.

13. Provides coverage for the CCH Manager of Case Management

14. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

• Bachelor level degree in Nursing required. Masters Degree preferred

• Current Massachusetts Registered Nurse license

• Certification in Case Management or Clinical Documentation Integrity preferred

• Two years experience in process improvement; Minimum 5 years Case Management experience in an acute setting.

• Experience in development and presentation of professional continuing education programs

• Knowledge of CMS regulations

• Excellent computer skills – familiarity with Windows based software programs

• Organizational, analytical, writing and interpersonal skills

• Management/supervisory experience preferred

Schedule Details: Full-Time, Monday-Friday, Rotating Call on Weekends and Holidays

Organization: Falmouth Hospital Association

Primary Location: Massachusetts-Falmouth Department: FHA-Care Management