Manager, Case Management

Cape Cod Healthcare Inc; Falmouth (MA); On-site; USD 120,000 - 140,000; Full time

Job summary

The Falmouth Hospital Association is seeking a Manager of the Case Management and Social Work teams to oversee daily operations, discharge planning, utilization management, and staff development. This role requires strong leadership, program oversight, and education for CM/SW staff while ensuring regulatory compliance.

Scheduling involves Monday–Friday with rotating call on weekends and holidays; located in Massachusetts, Falmouth.

Qualifications

• Bachelor level degree in Nursing required; Masters preferred.
• Current Massachusetts Registered Nurse license.
• Certification in Case Management or Clinical Documentation Integrity preferred.
• Two years experience in process improvement; Minimum 5 years Case Management experience in an acute setting.
• Experience in development and presentation of professional continuing education programs.
• Knowledge of CMS regulations.
• Excellent computer skills – familiarity with Windows based software programs.
• Organizational, analytical, writing and interpersonal skills.
• Management/supervisory experience preferred.

Responsibilities

• Day to day management of the case management and social services program staff and workflows, including scheduling and performance evaluations.
• Rounds on patient units on a regular basis to identify problem areas and assist in the facilitation of the discharge process.
• Ongoing development and completion of continuing education programs for Clinical Resources Management staff, including case managers and the social workers specifically related to role functions and implementation of new processes.
• Provides ongoing program education for new staff, including new Case Managers, the Trainee program hires, social workers, physicians, nurses and allied health professionals as it relates to discharge planning and utilization review.
• Tracks and trends Clinical Resource Management program compliance. Creates a dashboard to see where opportunities for improvement are and implements process improvement activities around areas identified.
• Develop, mentor and coach continual improvement in the collaborative practice between physicians, nurses and clinical resource team, and within the clinical resource department itself
• Stays current with regulatory changes in the case management field.
• Analysis and review of program metrics using working knowledge of the systems used in the departments.
• Knowledge of organizational policies and procedures,
• Skill in identifying problems and recommending solutions.
• Skill in preparing and maintaining records and written reports
• Represent the department on committees acting as a chairperson as appropriate.
• Provides coverage for the CCH Manager of Case Management
• Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

Skills

Organizational skills

Analytical skills

Writing skills

Interpersonal skills

Leadership

Education

Bachelor's degree in Nursing

Master's degree

Tools

Windows-based software

Job description

Job Description - Manager, Case Management (261015-50008453)

Manager, Case Management - ( 261015-50008453 )

Purpose of Position

The Manager of the Clinical Resource department is responsible for the day-to-day operations and clinical management of the Case Management, and Social Work staff. This position will oversee functions of the Clinical Resource Department as they pertain to discharge planning, utilization management, and social work process while maintaining the integrity of daily operations. This position is responsible for developing and conducting ongoing education for CM/SW staff.

Description

• Day to day management of the case management and social services program staff and workflows, including scheduling and performance evaluations.
• Rounds on patient units on a regular basis to identify problem areas and assist in the facilitation of the discharge process
• Ongoing development and completion of continuing education programs for Clinical Resources Management staff, including case managers and the social workers specifically related to role functions and implementation of new processes.
• Provides ongoing program education for new staff, including new Case Managers, the Trainee program hires, social workers, physicians, nurses and allied health professionals as it relates to discharge planning and utilization review.
• Tracks and trends Clinical Resource Management program compliance. Creates a dashboard to see where opportunities for improvement are and implements process improvement activities around areas identified.
• Develop, mentor and coach continual improvement in the collaborative practice between physicians, nurses and clinical resource team, and within the clinical resource department itself
• Stays current with regulatory changes in the case management field.
• Analysis and review of program metrics using working knowledge of the systems used in the departments.
• Knowledge of organizational policies and procedures,
• Skill in identifying problems and recommending solutions.
• Skill in preparing and maintaining records and written reports
• Represent the department on committees acting as a chairperson as appropriate.
• Provides coverage for the CCH Manager of Case Management
• Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

Qualifications

• Bachelor level degree in Nursing required. Masters Degree preferred
• Current Massachusetts Registered Nurse license
• Certification in Case Management or Clinical Documentation Integrity preferred
• Two years experience in process improvement; Minimum 5 years Case Management experience in an acute setting.
• Experience in development and presentation of professional continuing education programs
• Knowledge of CMS regulations
• Excellent computer skills – familiarity with Windows based software programs
• Organizational, analytical, writing and interpersonal skills
• Management/supervisory experience preferred

Schedule Details

Full-Time, Monday-Friday, Rotating Call on Weekends and Holidays

Organization

Falmouth Hospital Association

Primary Location

Massachusetts-Falmouth

Department

FHA-Care Management

Hiring Pay Range

$ 0 - $ 0

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. Exempt (Salaried) position salary ranges are based on a 40-hour workweek (37.5 hours for VNA) and offers are prorated based on FTE.