Manager, Care Management, Clinical Effectiveness

Responsibilities

In collaboration with the leader, the Mgr, Care Mgmt Clin Effect manages a team of professional staff responsible for providing care management services while ensuring patients receive cost-effective, high quality, and safe care. This includes, but is not limited to, care coordination, discharge planning, medical necessity reviews, and psycho-social services. The manager also works in collaboration with key stakeholders to drive initiatives that support quality services across the care continuum, such as reducing length of stay and preventable readmissions.

Key Accountabilities

• Partners with various stakeholders to maintain and improve quality of care and patient satisfaction. Provides care management functions within a patient care assignment as appropriate.
• Leads formal groups in rapid-cycle and performance improvement activities.
• Responsible for daily operations. Mentors staff through the coordination of orientation, ongoing coaching/education, and performance evaluation. Oversees staffing productivity schedules to ensure the effective utilization of facility care management staff. Provides direction/guidance in patient care management related issues.
• Facilitates the achievement of the annual care management budget and performance metrics developed collaboratively with leadership.
• Works in collaboration with the department director to achieve Norton, as well as departmental, goals and objectives.

Qualifications

Required:

• Three years clinical experience in medical surgical, or critical care nursing and One year care management experience
• Bachelor Degree
• Registered Nurse

Desired

• Three years in utilization review or case management
• Master Degree
• Accredited Case Manager OR Certified Case Manager