Care Management Lead: Coordination & Performance

Hackensack Meridian Health; Neptune City (NJ); On-site; USD 90,000 - 115,000; Full time

Job summary

Hackensack Meridian Health seeks a Supervisor, Care Management to oversee utilization management, care coordination, discharge planning and performance improvement for the care management team.

You will ensure staffing alignment, manage length of stay, and promote evidence-based practice while meeting regulatory and payor requirements. This role emphasizes data-driven decisions and staff development.

Responsibilities

• Facilitates collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
• Supervises the staff with all care management processes, including LOS, throughput, patient flow and denials and appeals follow up.
• Applies process improvement methodologies in evaluating team member's documentation.
• Ensures that multidisciplinary rounds and team huddles are occurring.
• Provides direction to the multidisciplinary team as needed in difficult cases.
• Obtains, interprets and presents metrics related to care management.
• Attends key meetings and presents the information about existing case management processes.
• Develops the performance improvement plan of the care manager, documents performance and provides performance feedback, evaluates the work of the team member and provides reward and recognition for proper and efficient performance.
• Determines areas of opportunities and suggest process improvement.
• Follows HR policies for performance and disciplinary action. Responsible for disciplinary action and performance improvement plans when appropriate.
• Participates in departmental preparation for regulatory visits and compliance audits.
• Coordinates/facilitates patient care progression throughout the continuum by working collaboratively with the multidisciplinary team.
• Collaborates with ancillary departments to ensure accuracy of patient demographic and insurance information.
• Assists in the collection and reporting of indicators tracking efficiency of case management processes.
• Uses data to drive decisions and plan/implement performance improvement strategies related to assigned staff, including fiscal, clinical, and patient satisfaction data.
• Collaborates with Physician Advisors,/Hospitalist in needs related to Case Management and difficult cases.
• Maintains annual competencies and ensures training and continuing education of the team in applicable platforms. (Epic, Xsolis Cortex, BI, Google Suites)
• Assumes responsibility for supervision of other case management care coordination managers in the absence of a Supervisor.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Tools

Epic

Xsolis Cortex

BI

Google Suites

Job description

Hackensack Meridian Health seeks a Supervisor, Care Management to oversee utilization management, care coordination, discharge planning and performance improvement for the care management team.

You will ensure staffing alignment, manage length of stay, and promote evidence-based practice while meeting regulatory and payor requirements. This role emphasizes data-driven decisions and staff development.