Manager Care Mgmt LSW or RN

Capital Health System, Inc.; United States; On-site; USD 98,000 - 128,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage & In-House

Dental Plan

Vision Plan

FSA - Healthcare

FSA - Dependent Care

FSA Retirement Savings and Investment

Basic Life & AD&D Insurance

Disability Benefits – LTD

Disability Benefits – STD

Employee Assistance Program

Commuter Transit

Commuter Parking

Voluntary Life Insurance

Job summary

Capital Health System, Inc. is seeking a Director of Care Management to oversee daily operations, ensure cost-effective and quality transitions of care, and mentor care management staff.

You will collaborate with leadership to implement performance improvement initiatives and educate physicians and departments on care management practices. The role requires supervisory responsibility, regulatory compliance, and ongoing evaluation of staff performance, with focus on patient care and resource

Qualifications

• Master’s in Social Work or BSN with admin/clinical social work coursework.
• ACM or CCM Certification required within one year of hire.
• Three years of management experience in hospital health care OR five years of social work with two years care management.

Responsibilities

• Supervise care management staff and provide performance evaluations.
• Collaborate with leadership to implement performance improvement initiatives.
• Ensure compliance with DNV standards and NJDOH regulations.
• Develop annual performance measures and monitor outcomes via data reviews.

Skills

Negotiation

Conflict management

Employee relations

Team building

Staff development

Quality improvement

Performance improvement

Program development

Clinical social work

Community relations

Education

Master’s in Social Work

BSN with course work in administrative and clinical social work

ACM or CCM Certification

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range: $97,947.20 - $127,982.40 Scheduled Weekly Hours: 40

Position Overview

SUMMARY Under the direction of the Director of Care Management, manages the daily operations of the Care Management program. This includes ensuring cost effective and quality transition of care through the appropriate utilization of resources. Assist Director to ensure that departmental performance achieves the objectives of Capital Health in accordance with state, federal and DNV requirements. Regularly monitors and assesses operations to ensure compliance with department specific indicators/targets for quality, employee satisfaction, customer satisfaction and financial targets. Collaborates with leadership on the implementation of performance improvement initiatives. Provides education to physicians and other appropriate departments regarding care management. Mentors, supervises, and evaluates all care management staff.

Minimum Requirements

• Education: Masters in Social Work or BSN with course work in administrative and clinical social work.
• ACM or CCM Certification upon one year of hire.
• Experience: Three years management experience in a hospital health care setting OR five years of Social Work experience AND two years care management/case management experience.
• Other Credentials: Social Worker - Licensed 4 hours of Stroke related Continuing Education contact hours annually if assigned to: Critical Care, Intermediate Care Unit, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds ED, PACU, Interventional Radiology, CNI, Observation

Knowledge and Skills

• Skilled in negotiation, conflict management, employee relations, team building, staff development, quality and performance improvement, program development, clinical social work intervention, and community relations, and community resource development.

Special Training

• Knowledge of spreadsheet and word processing software and case management and patient information systems and electronic mail.

Mental, Behavioral and Emotional Abilities

Usual Work Day: 8 Hours

Reporting Relationships

Does this position formally supervise employees? Yes

Essential Functions

Provides supervision of staff to ensure best practices in care management services. Assigns staff in accordance with skills, customers needs and regulatory requirements. Supervises RN and social workers care managers and support staff to include hiring, conducting performance evaluations, scheduling, and disciplinary actions. Collaborates routinely with care management, hospital staff, managers, and physicians to assure that patient social work needs are provided effectively and efficiently. Ensures compliance with DNV standards, NJDOH regulations, approved CH performance improvement plan and the HQSI activity for CH. Holds team responsible for outcomes. Develops annual performance measures and reviews with employees on an ongoing basis. Routinely reviews and analyzes staff performance and clinical outcomes via chart review, weekly length of stay meetings, daily rounds, and patient and staff satisfaction information. Ensures that an appropriate staffing model is resourced, implanted and monitored to achieve outcomes. Exercises discretion and judgement to monitor educational plan and make changes according to needs of staff and patients. Coordinates community discharge programs that help to reduce length of stay and resource utilization. Participates actively in system wide committees that impact on patient care, resource utilization, and program development. Attends system level meetings and represents care management to promote and develop good working relationships. Utilizes knowledge gained and ongoing updates of social work, care management, discharge planning, and health care services and systems to improve and expand patient care services and programs. Participates in the On-call rotation. Performs other duties as assigned.

Physical Demands and Work Environment

Frequent physical demands include: Sitting, Standing, Walking, Pinching/fine motor activities, Keyboard use/repetitive motion. Occasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Wrist position deviation. Continuous physical demands include: Talk or Hear. Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements

Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks

• Bloodborne Pathogens
• Airborne Communicable Disease
• Dust/Particulate Matter

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) - Healthcare
• FSA - Dependent Care
• FSA Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance - Voluntary Life
• Spouse - Voluntary Life
• Employee - Voluntary Life
• Child Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Equal Opportunity Employer Notice Capital Health Benefits