Manager - Inpatient Care Management

Advocate Health; Charlotte (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

Carolinas Medical Center seeks a Manager to lead its inpatient Care Management and Social Work programs and to directly manage and develop site staff. This role collaborates with hospital leaders, physicians, nurses, and post-acute partners to support timely care progression and discharge planning while ensuring regulatory compliance.

Leadership and inpatient case management experience are strongly preferred, with opportunities to drive performance improvement, team development, and budget

Qualifications

• Bachelor's Degree in Nursing or Master's Degree in Social Work or related field.
• 3 years of experience in a relevant clinical setting.
• Certifications within 1 year: ACM, CCM, RN-BC, or C-SWHC (as applicable).

Responsibilities

• Oversee daily operations of care management and social work programs at the site(s).
• Monitor staff schedules, PTO, and timecards to ensure continuity of services.
• Lead performance improvement activities and set targets to improve care processes.
• Collaborate with physicians, leadership, and post-acute partners to ensure compliant discharge planning.

Skills

Leadership

Care management

Discharge planning

Collaboration

Education

Bachelor's Degree in Nursing

Master's Degree in Social Work

Related field

Job description

Carolinas Medical Center seeks a Manager to lead its inpatient Care Management (CM)/Social Work (SW) program and directly manage and develop site staff. This leader will collaborate frequently with hospital leaders, post-acute partners, physicians, physician advisors, nurses, and others to support accurate, timely care progression and discharge planning while ensuring compliance with regulatory standards and conditions of participation related to discharge planning and utilization management. The Manager will also support ongoing communication and education on care coordination, discharge planning, alternative payment methods, regulatory requirements, and performance improvement methodologies. Leadership and inpatient case management experience are strongly preferred.

Major Responsibilities:

• Provides management oversight of the daily operations of the care management and social work programs at the assigned site(s).
• Approves and monitors staff schedules, paid time off, and timecards to ensure continuity of services.
• Monitorsproficiencyof eachsiteCM/SW staff and includes action plans to improve deficiencies, meet regulatory requirements, and drive efficiencies.
• Responsible for team building and conflict resolution.
• Facilitates performance improvement activities for the care management program;assiststo establishmeasures, performance targets, and benchmarks to drive achievement of established goals and achieve efficiencies of processes.
• Collects, analyzes, and reports data to measure andidentifythe effectiveness of care processes and variations from standards and expectations.
• Analyzes data and information to discern root causes of performance gaps using key data and reports.
• Identifiesand discusses overall and individual physician trends related to care management activities with Director of Inpatient Care Management, PhysicianAdvisorand site Medical Staff Leadership asappropriate witha documented improvement plan to include strategies and educational needsidentified.
• Regularly reviews individual site successes and improvement opportunities with the Director of Inpatient Care Management, siteleadershipand other key stakeholders.
• Serves as an internal consultant on Care Management opportunities.
• Acts as an expert resource for care managementprogram, including evaluation of challenging cases, intervening with physicians when necessary, meeting with patients and families, dissemination and interpretation of key regulatory requirements and changes, etc.
• Consults, communicates, and organizes key ongoing education, serves as a supportive member of site UM Committees, and/or other site meetings asappropriate.
• Participates in multidisciplinary cross functional efforts to ensure high quality, cost effective coordinated care.
• Works collaboratively with Physician Advisor(s) on challenging cases, removing barriers to discharge.
• Accountable for site care management/social workbudgets asassigned.
• Develops andrecommendsoperational and capital budgets and controls expenditure within approved budgetobjectives.
• Ensures the care management/social work programoperateswithin compliance of CMS, OSHA, Accrediting Organizations, and established care management practice standards and code of ethics.
• Collaborates with Compliance to ensure care management/social work program meets all state and federal guidelines.
• Responsible for orientation, and ongoing competency assessment of CM/SW staff in collaboration with the Director of Inpatient CareManagement.
• Responsible for personal professional growth.
• Participates in professional organizations,maintainslicense and certification asrequired, maintainseffective working relations with both internal and external customers.
• Maintains required competencies and assumes responsibilityofpersonal development and maintenance of ongoing workshops, conferences, and/orinservicesandmaintainingrecords of participation.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommendsoperating andcapital budgets and controls expenditures within approved budgetobjectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised,comply withthe policies,regulationsand laws applicable to the organization's business.

Minimum Job Requirements

Education: Bachelor's Degree in NursingorMaster’s Degree in Social Workorrelated field.

Certification / Registration / License: If BSN, Registered Nurse licenseissued by the state in which the team memberpracticesisrequired. If social worker,license/certification issued by the state in which the team member practicesispreferred(or as required by the state in which the team member practicessocial work).Accredited Case Manger (ACM) or SW (ACM) certification issued by the American Case Management Association (ACMA) needs to be obtained within 1 year, orRN or SW: Certified Case Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs to be obtained within 1 year,orRN: Nursing Case Management (RN-BC) certification issued by the American Nurses Credentialing Center (ANCC) needs to be obtained within 1 year,orSW: Certified Social Worker in Health Care (C-SWHC) issued by National Association of Social Workers to be obtained within 1 year

Experience: 3 years of experience in a relevant clinical setting.

Preferred Job Requirements

Preferred Education: Master's in Social Workpreferred.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.