Care Management Leader | Hospital Operations & Outcomes

Capital Health (US); United States; On-site; USD 98,000 - 128,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage

Dental Plan

Vision Plan

Flexible Spending Account (FSA)

Retirement Savings Plan

Life Insurance (AD&D)

Disability Benefits (LTD/STD)

Employee Assistance Program

Paid Time-Off

Job summary

Capital Health in the United States seeks an experienced leader to oversee the daily operations of the Care Management program. The role ensures cost-effective, quality transition of care through appropriate resource use and adherence to DNV and state standards.

The position reports to the Director of Care Management, mentoring staff, evaluating performance, and driving improvement initiatives across the department. A strong clinical social work background is required.

Qualifications

• Master's in Social Work or BSN with coursework in administrative and clinical social work; ACM or CCM certification upon one year of hire.
• Three years of management experience in a hospital health care setting OR five years of Social Work experience plus two years care/case management experience.

Responsibilities

• Provides supervision of staff to ensure best practices in care management services and assigns staff according to skills and needs.
• Supervises RN and social workers care managers and support staff including hiring, performance evaluations, scheduling and disciplinary actions.
• Collaborates with care management, hospital staff, managers and physicians to ensure patient social work needs are met effectively and efficiently.
• Ensures compliance with DNV standards, NJDOH regulations and Capital Health performance improvement plans; holds team accountable for outcomes.
• Develops annual performance measures and reviews with employees; monitors and analyzes staff performance and clinical outcomes.
• Participates in system wide committees and represents care management to promote collaboration and program development.

Skills

Negotiation

Conflict management

Employee relations

Team building

Staff development

Quality improvement

Performance improvement

Program development

Clinical social work

Community relations

Community resources development

Education

Masters in Social Work

BSN with admin/clinical social work coursework

ACM/CCM certification upon 1 year of hire

Tools

Spreadsheet software

Word processing

Case management systems

Patient information systems

Email

Job description

Capital Health in the United States seeks an experienced leader to oversee the daily operations of the Care Management program. The role ensures cost-effective, quality transition of care through appropriate resource use and adherence to DNV and state standards.

The position reports to the Director of Care Management, mentoring staff, evaluating performance, and driving improvement initiatives across the department. A strong clinical social work background is required.