Manager - Inpatient Care Management

aah; United States; On-site; USD 65,000 - 98,000; Full time

Job summary

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.

Qualifications

• Bachelor's Degree in Nursing or Master's Degree in Social Work or related field.
• Leadership and inpatient case management experience strongly preferred.
• Knowledge of discharge planning, utilization management, and regulatory standards.

Responsibilities

• Oversee daily operations of care management and social work programs at the site.
• Approve staff schedules, PTO, and timecards to ensure service continuity.
• Monitor staff proficiency and develop improvement plans to meet regulatory standards.
• Lead performance improvement activities and establish targets and benchmarks.
• Analyze data to identify care process variances and improvement opportunities.
• Collaborate with physicians, nurses, and leaders on discharge planning and care progression.

Skills

Leadership

Inpatient case management

Staff development

Regulatory compliance

Education

Bachelor's Degree in Nursing

Master's Degree in Social Work

Job description

Job Details

• Department: 11229 Carolinas Medical Center - Care Management
• Status: Full time
• Benefits Eligible: Yes
• Hou rs Per Week: 40
• Schedule Details/Additional Information:
  Full time - 40 hours per week
  Weekday schedule
  8a-4:30p
• Pay Range: $47.50 - $71.25

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.
• Monitors proficiency of each site CM/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; assists to establish measures, performance targets, and benchmarks to drive achievement of established goals and achieve efficiencies of processes.
• Collects, analyzes, and reports data to measure and identify the 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.
• Identifies and discusses overall and individual physician trends related to care management activities with Director of Inpatient Care Management, Physician Advisor and site Medical Staff Leadership as appropriate with a documented improvement plan to include strategies and educational needs identified.
• Regularly reviews individual site successes and improvement opportunities with the Director of Inpatient Care Management, site leadership and other key stakeholders.
• Serves as an internal consultant on Care Management opportunities.
• Acts as an expert resource for care management program, 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 as appropriate.
• 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 work budgets as assigned.
• Develops and recommends operational and capital budgets and controls expenditure within approved budget objectives.
• Ensures the care management/social work program operates within 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 Care Management.
• Responsible for personal professional growth.
• Participates in professional organizations, maintains license and certification as required, maintains effective working relations with both internal and external customers.
• Maintains required competencies and assumes responsibility of personal development and maintenance of ongoing workshops, conferences, and/or in services and maintaining records 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 recommends operating and capital budgets and controls expenditures within approved budget objectives.
• 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 with the policies, regulations and laws applicable to the organization's business.

Minimum Job Requirements

• Education: Bachelor's Degree in Nursing or Master's Degree in Social Work or related field.
• Certification / Registration / L