What are the responsibilities and job description for the Manager Care Management position at McLaren Health Care Corp?
Position Summary:
Responsible for assisting the Director Integrated Care Management in providing management of day-to-day operation and workflow of the care management team. Builds strong partnerships and interfaces within ICM service lines, key physician and nursing leaders to reach the goals and objectives of the ICM departments, which include achieving the highest quality of care coordination, discharge planning, utilization of appropriate resources, LOS/measurable outcomes, and accurate reimbursement.
Essential Functions and Responsibilities:
- Provides management of operations, including assisting with performance management, resolving staff problems, providing orientation and training for new staff and providers, and ongoing education for the utilization management team.
- Assists the care managers with the coordination of care management review activities to ensure that patients requiring referral care and/or services receive them in a timely manner.
- Assists with annual goals/performance management assessments and performs staff evaluations, develops and trains staff and participates in the staff hiring process.
- Assists in facilitating Care Management reports and utilizing tools for reporting trends and identify opportunities for potential care management, physician engagement, post-acute transfers, or delays in discharge metrics.
- Collaborates with Care Management staff to facilitate daily LOS stay rounding.
- Collaborates with other hospital departments and/or community resources to promote cooperation and efficiency in providing patient's care management needs.
- Collaborates with the ICM leadership regarding care management problems, issues related to discharge delays, social determinants, placement issues, provider engagement, medically related issues, and potential quality of care issues.
Qualifications:
Required:
- Current license in the state of practice as a registered nurse or social worker
- Bachelor’s degree in nursing from accredited educational institution, or actively pursuing degree and to be obtained within five years of accepting position, bachelor’s in health care or business administration or master’s social work (MSW)
- Four years of case management experience in an acute healthcare facility
- American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirements
- Member of the American Case Management Association (ACMA)
Preferred:
- Master's degree in business or a health-related field
- Two years of experience in supervision
- Experience in social work, utilization review, clinical documentation, critical care, or quality.
- Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training Network (MTN)