Care Management Manager

AdventHealth Colorado; Daytona Beach (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking health care organization as a Care Management Manager in Daytona Beach, where you will lead a dedicated team focused on providing exceptional patient care. In this pivotal role, you'll coordinate care and ensure compliance with regulatory standards while fostering a collaborative environment. Your expertise in Care Management will drive process improvements, enhance patient outcomes, and support the holistic well-being of individuals. This is an exciting opportunity to make a meaningful impact in a community-focused setting, where your contributions will be valued and recognized.

Benefits

Benefits and Paid Days Off from Day One

Paid Parental Leave

Whole Person Well-being and Mental Health Resources

Qualifications

• 3+ years of direct Care Management experience in an acute care setting.
• Understanding of core Care Management principles and CMS regulations.

Responsibilities

• Oversee daily operations of the Care Management department.
• Implement strategies to enhance customer experience and compliance.

Skills

Care Management

Utilization Management

Patient Advocacy

Data Management

Education

Bachelor's degree in Nursing or Social Work

Master's level degree in Nursing or Social Work

Job description

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Care Management Manager Daytona Beach, FL

AdventHealth Daytona Beach

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Internal Employees Apply Here

• Job Schedule: Full-time
• Pay Range: $34.71 - $64.55 per hour
• Job ID: 25016319
• Job Family: Case Management
• Shift: 1 - Day
  
  

Our goal is simple: to offer our patients the absolute best care around them in the most compassionate, community-focused setting possible. And to us, that means extending the healing ministry of Christ, striving to promote wellness of body, mind and spirit.

AdventHealth Daytona Beach includes a 293-bed main hospital in Daytona Beach, as well as outpatient facilities located at the Pavilion at Port Orange and the New Smyrna Health Park.

More than 400 physicians hold privileges to practice at our facilities, and we employ more than 1,700 care team members. Our specialties include cardiology, cancer, emergency care, surgical services, obstetrics, Level II NICU, neurosurgery, stroke care, rehabilitation, weight-loss surgery, imaging, laboratory, home health, wound care, diabetes, hospice, physician practices, and women's services. We also offer the area's only inpatient rehabilitation facility with Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation for stroke care.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

All the benefits and perks you need for you and your family:

• Benefits and Paid Days Off from Day One
• Paid Parental Leave
• Whole Person Well-being and Mental Health Resources
  
  

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time, Exempt

Shift: Days, Monday - Friday

Location: AdventHealth Daytona Beach – 301 Memorial Medical Parkway, Daytona Beach, FL 32117

The Role You’ll Contribute

The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision of team members.

The Care Management Manager is responsible for, but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Social Services implementation of processes based upon data management, accountability for Length of Stay, Excess Days, Avoidable Days, Readmission Prevention, and Discharge Planning. In addition, the Care Management Manager is responsible for department engagement, customer experience, compliance of regulatory standards, and employee evaluations. The Care Management Manager supports professional and collaborative relationships with the Interdisciplinary Team to sustain process improvement and attain hospital metrics.

The Value You’ll Bring To The Team

• Supports the daily operations of the Care Management department (both Inpatient and Emergency Department settings)
• Implements Corporate Care Management strategies
• Implements strategies with a focus on customer experience
• Ensures documentation compliance of the Care Management department (Discharge Planning Evaluation, IMM, MOON, Patient Choice, etc.)
• Identifies and utilizes resources to support information sharing amongst staff
• Actively participates in daily Multidisciplinary Rounds ensuring staff participation on their assigned units to discuss transition of the patient to the post acute setting and barriers to the plan
• Assures staff documentation is completed per guidelines as evidenced by appropriate monitoring techniques, coaches staff as needed
• Assures patients are routinely assessed for post-hospital needs and documentation occurs within 1 calendar day of patient admission
• Advocates and escalates pace of care delays
• Assures discharge plans are developed in collaboration with patient, family caregivers, care team and payor
• Assures effective discharge planning to meet patient needs, meet regulatory requirements and achieve organization objectives related to readmission reduction
• Supports implementation of processes as directed by system for identification of at-risk populations and acquires necessary resources/services to improve patients' chances of successful self management
• Coordinates and leads family meetings and patient/family and care team meetings as needed
• Strives to meet all key performance indicator (KPI) targets
• Assesses, develops, implements, monitors processes that impact patient outcomes
• Seeks opportunities for improvement in quality of care/services
• Reports pertinent quality/risk issues to appropriate individuals, departments and/or committees in a timely manner
• Monitors and documents activities ongoing to substantiate the effectiveness of care management activities to achieve compliance with external agencies
• Collaborates with outside agencies to guide the handover of patients to the post-acute setting
• Escalates operational and/or financial concerns to the Physician Advisor(s) as appropriate
• Participates, as needed, in hospital/medical staff meetings to review patients meeting criteria related to high dollar/extended length of stay and/or difficult placement maintains meeting minutes as appropriate
• Communicates and collaborates across the Care Management team in the areas of data and information management, performance improvement, care coordination, care transition management, medication management, and social services
  
  

Minimum Qualifications

The expertise and experiences you’ll need to succeed:

• Bachelor’s degree in Nursing or Social Work
• State of Florida or Multistate Registered Nursing License (if BSN)
• Three (3) or more years direct Care Management/Utilization Management experience in an acute care setting
• Understanding of core Care Management principles and CMS Conditions of Participation
• Knowledge of medical necessity for appropriate patient status and level of care
• Understanding and ability to implement mitigation techniques to attain hospital metrics
• Front line experience with Joint Commission surveyors
  
  

Preferred Qualifications

• Master’s level degree in Nursing or Social Work
• Licensed Clinical Social Worker (LCSW)
• RN-BC Certification in Care Management
• Two (2) or more years of supervisory level of reponsibility
  
  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Case Management

Organization: AdventHealth Daytona Beach

Schedule: Full-time

Shift: 1 - Day

Req ID: 25016319

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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Internal Employees Apply Here

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Our Promise To You

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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