Care Management Supervisor

AdventHealth; Burleson (TX); On-site; USD 74,000 - 137,000; Full time

Benefits offered by this job

Benefits from Day One: Medical, Dental

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Burleson, Texas, seeks an experienced discharge planning leader to supervise inpatient, observation, and ED care management activities. You will drive care coordination, provide expert discharge planning guidance, and ensure compliance with CMS requirements.

The role requires an RN with an Associate's degree and 1+ year in care management, with BSN preferred. You will collaborate across disciplines, analyze data, and mentor staff in a full-time, on-site capacity.

Qualifications

• RN with Associate's degree is required; BSN preferred.
• 1+ year in direct care management; 2+ frontline nursing experience.
• Licensed RN; ACM/CCM preferred.
• Knowledge of CMS Conditions of Participation for discharge planning.
• Ability to lead others while maintaining compliance.

Responsibilities

• Supervises discharge planning and social services operations.
• Implements corporate Care Management strategies with facility management.
• Participates in multidisciplinary rounds for effective discharge planning.
• Monitors care management documentation and regulatory compliance.
• Facilitates care conferences for complex transitions and placements.
• Addresses quality and risk issues promptly; communicates escalations.
• Involves in hiring, onboarding, educating, evaluating, and mentoring staff.

Skills

Discharge planning leadership

Medical necessity knowledge

CMS Conditions of Participation

Critical thinking

Customer service

Data analysis

Process improvement

Communication

Multitasking

Clinical decision-making

Negotiation

Education

Associate's of Nursing

Bachelor's of Nursing

Tools

PC applications

Report development

Job description

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.

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

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day-Weekend (United States of America)

Address:

11801 SOUTH FWY

City:

BURLESON

State:

Texas

Postal Code:

76028

Job Description:

• Supervises daily operations of discharge planning and social services in the inpatient, observation, and emergency department, serving as the primary point of contact for inpatient unit Care Management barriers and concerns.
• Implements corporate Care Management strategies in collaboration with facility management.
• Actively participates in multidisciplinary rounds, ensuring active staff participation and effective discharge planning and barrier resolutions.
• Provides discharge planning and progression of care expertise to the interdisciplinary team.
• Leverages reports and dashboards to monitor the accuracy of care manager team's documentation and compliance with regulations.
• Facilitates care conferences for complex transitions and placements as needed.
• Participates in hospital and medical staff meetings to review patients with high dollar, extended length of stay, or difficult placement.
• Reports pertinent quality and risk issues to appropriate individuals, departments, and committees in a timely manner.
• Addresses patient, staff, physician, and department complaints and follows up with timely communications and escalations.
• Participates in hiring, onboarding, educating, evaluating, and mentoring staff.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Knowledge of medical necessity for appropriate patient status and level of care [Required]
• Knowledge of IMM, MOON, Advanced Directives, Multidisciplinary Rounds, Social Services, Value Based Programs, and other Care Management compliance guidelines [Required]
• Ability to lead others effectively while maintaining appropriate compliance [Required]
• Knowledge of Centers for Medicare & Medicaid Services (CMS) Conditions of Participation for discharge planning [Required]
• Ability to manage multiple tasks and prioritize level of importance [Required]
• Critical thinking skills [Required]
• Customer service skills [Required]
• Ability to implement process improvement processes [Required]
• Experience with PC applications and development of reports [Required]
• Ability to negotiate optimal resolution of issues [Required]
• Ability to manage multiple tasks and prioritize level of importance [Required]
• Ability to engage in complex clinical decision-making [Preferred]
• Strong professional verbal and electronic communication [Preferred]
• Ability to analyze, evaluate, and monitor data [Preferred]
• Ability to foster positive Interdisciplinary Team relations and encourage employee engagement [Preferred]
• Ability to work independently and/or as part of a team [Preferred]

Education:

• Associate's of Nursing [Required]
• Bachelor's of Nursing [Preferred]

Field of Study:

• N/A

Work Experience:

• 1+ experience in direct care management [Required]
• 2+ front line nursing experience [Required]

Additional Information:

• N/A

Licenses and Certifications:

• Registered Nurse (RN) [Required]
• Accredited Case Manager (ACM) [Preferred]
• Certified Case Manager (CCM) [Preferred]

Physical Requirements:

(Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range:

$73,673.60 - $137,051.20

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