Manager Case Management RN or Social Worker (Full Time/Days)

Penn Medicine, University of Pennsylvania Health System; Lancaster (Lancaster County); On-site; USD 85,000 - 110,000; Full time

Job summary

Penn Medicine, University of Pennsylvania Health System in Lancaster, PA seeks a Manager to oversee the Case Management department at Women and Babies Hospital and Duke Street. The role directs daily operations, clinical development, and care management services for patients and families.

The incumbent will guide staff, monitor performance, ensure regulatory compliance, and collaborate with inpatient units and post-acute partners to optimize outcomes.

Qualifications

• RN or Social Worker required; PA RN license with BSN or MSW degree.
• Three years experience in acute care or health insurance environment.
• Three years experience with physicians, staff and executives.
• Two years leading or managing others.
• Certification in Case Management or must obtain within one year of hire.

Responsibilities

• Provide clinical oversight to case management staff and coordinate daily operations.
• Assist clinical teams with processes and strategic projects.
• Promote staff development and maintain education requirements; oversee care coordination activities.
• Assess staff competency and manage performance records and reviews.
• Assist Director with budget needs and data quality monitoring; prepare reports.
• Set quality and productivity standards and take corrective actions as needed.

Skills

Leadership

Team management

Communication

Education

RN license (PA) BSN

MSW or related health care degree

Tools

Regulatory compliance

Budget management

Job description

Job Details

Location: Lancaster, PA - Lancaster General Hospital

Hours: Full Time. Monday-Friday, days. No weekends.

Summary

Under the direction of the Director, the Manager is responsible for assessing, planning, and providing support to Case Managers, and Support Center Staff at Women and Babies Hospital and Duke Street within the Case Management department. Coordinates all daily activities of the case management department regarding overall clinical development, implementation and supervision of care management services to our patients and families.

Responsibilities

• Provides clinical oversight to the case management staff. Responsible for overseeing the daily operations of the team and coordination of department needs which include timecards, benefit records, interviews, hiring, training, coaching and mentoring in coordinating case management activities across the continuum.
• Assists clinical teams with ongoing processes, meeting strategic goals and special projects.
• Promotes individual and department development and assists staff in maintaining educational requirements. Supervises all clinical activities related to patient care, regulatory requirements, establishing standards of care and documentation of such.
• Provides clinical guidance and assesses employee competency and maintains ongoing record of staffs’ performance and documentation including solicitation of input from others and completes department performance review processes.
• Assists the Director with department budget needs. Maintains procedures and data quality monitoring plans and prepares reports.
• Monitors data quality and productivity. Works with the Director to set quality and productivity standards, reports, and takes corrective action where appropriate.
• Participates in the building of systems and processes to most effectively manage healthcare consumer needs (information systems, marketing, quality, and utilization management).
• Collects objective data with regard to the clinical performance, behavior and self-development of each staff member.
• Maintains working knowledge of regulatory requirements related to Case Management and ensures requirements are being met.
• Develops working relationship with all inpatient nursing unit managers, their staff, and physicians to provide foundation for efficient case management services.
• Develops working relationship with Post Acute partners and conducts routine meetings as needed.
• Other duties as assigned.

Minimum Required Qualifications

• An RN or Social Worker is required for this role, with specific requirements being one of the following:
  • Current RN license, issued by the PA Board of Nursing and bachelor’s degree in nursing BSN
  • A related health care degree OR master’s degree in social work MSW from an accredited school or program.
• Three 3 years of experience in acute care or health insurance environment.
• Three 3 years of experience working with physicians, staff and executive staff.
• Two 2 years of experience leading or managing others.
• Certification in Case Management or must obtain within one year of hire.

Preferred Qualifications

• Five 5 years clinical hospital experience.
• Management experience in nursing or related healthcare position.

Benefits

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Equal Opportunity Statement

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.