Manager Care Management

McLaren Health Care; Flint (MI); On-site; USD 85,000 - 110,000; Full time

Job summary

McLaren Health Care in Michigan seeks a dedicated RN Case Management Director to lead the case management team. You will ensure patients receive the right level of care at the right time by coordinating with nursing and medical staff and guiding referrals across the system.

The position emphasizes regulatory compliance, budget administration, and mentorship of staff. A bachelor’s degree in nursing and RN license are required; a Master’s in business or health-related field and prior supervisory

Qualifications

• Bachelor’s degree in nursing or health-related field from accredited institution.
• State licensure as a Registered Nurse (RN)
• Four years of professional experience in RN patient care and case management.

Responsibilities

• Plans and administers the effective management and delivery of case management services in accordance with all hospital, system, and regulatory agency standards.
• Assists with ensuring quality, financial, and customer service objectives are met.
• Assists with developing and administering capital and operating budgets in order to meet agreed-upon departmental goals and objectives.Implements appropriate methods to monitor adherence to budgets and resolve variances.
• Serves as technical resource to subordinates in resolving complex problems and in investigating and recommending corrective actions in response to incident reports and/or patient complaints.
• Assists with recommendations for new supplies and minor equipment purchases.

Skills

Case management

Leadership

Budgeting

Mentoring

Education

Bachelor’s degree in nursing or health-related field

RN licensure

Master's degree in business or health-related field

Job description

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

Provides overall technical direction and administration to case management personnel, ensuring services are provided efficiently and effectively.Regularly reviews and revises, as necessary, relevant standards and ensures services performed comply with all hospital, system, and regulatory agency standards.Coordinates provision of services with other nursing and medical functions and serves as technical resource for departmental personnel. As an expert in the assigned area, is a resource person to both staff and physicians. Oversees, guides, and mentors the entire team to ensure patients (a) receive the right level of care at the right time predictably and (b) requiring referral care and/or services receive them in a timely manner.

Essential Functions and Responsibilities:

• Plans and administers directly, and through subordinate supervisory personnel, the effective management and delivery of case management services in accordance with all hospital, system, and regulatory agency standards.
• Assists with ensuring quality, financial, and customer service objectives are met.
• Assists with developing and administering capital and operating budgets in order to meet agreed-upon departmental goals and objectives.Implements appropriate methods to monitor adherence to budgets and resolve variances.
• Serves as technical resource to subordinates in resolving complex problems and in investigating and recommending corrective actions in response to incident reports and/or patient complaints.
• Assists with recommendations for new supplies and minor equipment purchases.

Required:

• Bachelor’s degree in nursing or health-related field from accredited educational institution
• State licensure as a Registered Nurse (RN)
• Four years of professional experience in RN patient care and case management.

Preferred:

• Master's degree in business or a health-related field
• Two years of experience in supervision
• BLS certification

• Schedule: Full-time
• Requisition ID: 26011444
• Daily Work Times: 7:00 a.m. - 4:00 p.m.
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.