Manager Case Management (RN)

Children's Healthcare of Atlanta; Atlanta (GA); On-site; USD 110,000 - 150,000; Full time

Job summary

Children’s Healthcare of Atlanta is seeking an experienced Nursing-Management leader to oversee day-to-day case management operations and ensure high-quality patient care coordination. You will manage fiscal and human resources processes while promoting accountability and staff development.

The role requires 5+ years in acute nursing and 3 years in case management; a BSN is required and an MSN is preferred.

Qualifications

• 3 years of management/administration in a case management setting.
• 5 years of experience in acute nursing in emergency, intensive care, and/or medical‑surgical acute care; pediatrics preferred.
• 3 years of experience in utilization management, case management, discharge planning and quality improvement.

Responsibilities

• Demonstrates fiscal accountability by assisting in budget preparations/monthly analysis of budget performance and complying with budgetary guidelines.
• Collaborates with medical staff and all levels of hospital personnel to ensure high-quality, cost-effective patient care incorporating age-related and departmental-specific guidelines.
• Promotes autonomy and accountability by fostering an environment for staff to collaborate in effective problem-solving at unit and nursing service level.
• Demonstrates competencies in case management and utilization review.
• Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.
• Develops and maintains networking skills with clinical managers and directors to advance the patient care coordination process.
• Develops staff performance expectations, metrics, and goals and holds self and staff accountable to achieving.
• Establishes and communicates performance and behavioral standards and follows appropriate disciplinary courses of action when counseling staff.
• Identifies and maintains relationships with other departments, e.g., Utilization Management, Managed Care, Patient Accounting, Patient Access, and medical staff to facilitate the care coordination process and provide continuity of care.
• Performs other duties as assigned.
• Responsible for all aspects of managing and leading a team including interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees.
• Mentor team members to encourage personal and professional growth.
• Encourage ongoing skill development by providing opportunities for continued education.

Skills

Excellent communication

Decision‑making

Critical thinking

Computer skills

Financial aspects knowledge

Windows skills

Education

Bachelor of Science in nursing

Master's degree in Nursing (Preferred)

Job description

Work Shift

Day

Work Day(s)

Monday-Friday

Shift Start Time

7:00 AM

Shift End Time

4:00 PM

Worker Sub-Type

Regular

Job Description

Manages and facilitates day‑to‑day case management operations, including fiscal and human resources processes. Proactively supports efforts that ensure safe, effective, high‑quality, and efficient patient care coordination.

Experience

• 3 years of experience in management/administration in a case management setting
• 5 years of experience in acute nursing in emergency, intensive care, and/or medical‑surgical acute care; pediatrics preferred
• 3 years of experience in utilization management, case management, discharge planning and quality improvement

Preferred Qualifications

• Master's degree in Nursing

Education

• Bachelor of Science in nursing

Certification Summary

• Licensure as a Registered Nurse in the single State of Georgia or Multi‑State through the Enhanced Nurse Licensure Compact
• Professional Nursing Certification deemed by department required upon one year of hire

Knowledge, Skills, and Abilities

• Excellent communication skills, both verbal and written
• Effective decision‑making/problem‑solving skills, demonstration of creativity in problem‑solving, influential leadership skill
• Demonstrated effective critical thinking skills and ability to anticipate patient discharge needs
• Moderate to expert computer skills
• Working knowledge of the financial aspects of third‑party payors and reimbursement
• Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment

Job Responsibilities

• Demonstrates fiscal accountability by assisting in budget preparations/monthly analysis of budget performance and complying with budgetary guidelines.
• Collaborates with medical staff and all levels of hospital personnel to ensure high-quality, cost-effective patient care incorporating age-related and departmental-specific guidelines.
• Promotes autonomy and accountability by fostering an environment for staff to collaborate in effective problem-solving at unit and nursing service level.
• Demonstrates competencies in case management and utilization review.
• Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.
• Develops and maintains networking skills with clinical managers and directors to advance the patient care coordination process.
• Develops staff performance expectations, metrics, and goals and holds self and staff accountable to achieving.
• Establishes and communicates performance and behavioral standards and follows appropriate disciplinary courses of action when counseling staff.
• Identifies and maintains relationships with other departments, e.g., Utilization Management, Managed Care, Patient Accounting, Patient Access, and medical staff to facilitate the care coordination process and provide continuity of care.
• Performs other duties as assigned.
• Responsible for all aspects of managing and leading a team including interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees.
• Mentor team members to encourage personal and professional growth.
• Encourage ongoing skill development by providing opportunities for continued education.

Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

Primary Location Address

1001 Johnson Ferry Rd

Job Family

Nursing-Management